Medical Biller

Medical BillerThe Hospice of Baton Rouge is seeking a skilled Full-Time Medical Biller to support its day-to-day operations. The Medical Biller will be responsible for completing complex Medicare and Medicaid claims to ensure accurate submission, timely follow-up, and full compliance with federal and state regulations. This role will support optimal revenue cycle performance by coordinating with internal staff, patients, and payers to resolve denials, maintain accurate financial records, and facilitate proper reimbursement.JOB RESPONSIBILITIES:Accurately and timely prepare and submit insurance claims for Medicare and Medicaid in compliance with federal and state regulationsFollow up on unpaid or denied claims; research root causes, resolve discrepancies, and submit effective appeals as neededReview and reconcile Explanations of Benefits (EOBs) and remittance advice; ensure accurate payment posting and identify variancesCommunicate with patients regarding account balances, payment plans, and billing inquiries related to Medicare and Medicaid servicesMaintain accurate billing records and documentation in accordance with HIPAA and all regulatory requirementsCollaborate with other departmental staff, clinical teams, providers, and administrative staff to resolve billing issues and improve claim accuracyStay current with Medicare and Medicaid policy updates, coding guidelines (ICD-10, CPT, HCPCS), and billing regulationsUtilize medical billing software and Electronic Health Record (EHR) systems efficiently and accuratelyAccurately verify patient insurance information, payment systems, and government program requirements using medical billing software and online platformsConfirm compliance with state-specific regulations and ensure all verification data is documented accuratelyQUALIFICATIONS:High school diploma or equivalent requiredAssociate's degree in Healthcare Administration or a related field preferredCertified Professional Biller (CPB – AAPC), Certified Medical Reimbursement Specialist (CMRS – AMBA), or Certified Billing and Coding Specialist (CBCS – NHA) preferred2–3 years of medical billing experience in a healthcare setting preferredDirect experience with Medicare and Medicaid billing processes requiredExperience working with Medicare, Commercial payers/plans and state-specific Medicaid programs is preferredStrong understanding of Medicare and Medicaid billing regulations, payer guidelines, and claims processingKnowledge of ICD-10, CPT, HCPCS codes, and claim form requirements (CMS-1500, UB-04)Proficiency in medical billing software and EHR systemsFamiliarity with revenue cycle management and denial management strategiesExceptional problem-solving and analytical skillsHigh attention to detail and accuracy in data entry and claim submissionStrong written and verbal communication skills for patient, payer, and internal interactionsAbility to work independently, prioritize tasks, and meet deadlines in a fast-paced environmentAbility to maintain confidentiality and handle sensitive financial and health information with discretionUnderstanding of CMS operations and Medicare/Medicaid policy structure preferredDrug-Free WorkplaceThe Hospice of Baton Rouge is committed to maintaining a safe, healthy, and drug-free workplace. As a condition of employment, all final candidates must successfully complete a pre-employment drug screening in accordance with organizational policy.Because of the safety-sensitive nature of the care we provide, applicants who test positive for marijuana, including medical marijuana prescribed under state law, are not eligible for employment.