Medical Biller

Job Description

Job Description

Benefits/Perks

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

Position Summary
The Medical Biller is responsible for managing the full revenue cycle for a small, fastpaced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detailoriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies.

Key Responsibilities
Claims & Billing
Prepare, review, and submit clean claims to insurance carriers (electronic and paper).
Verify coding accuracy and ensure all required documentation is present before submission.
Correct and resubmit rejected or denied claims promptly.
Maintain uptodate knowledge of CPT, ICD10, and payerspecific billing guidelines.
Payment Posting & Reconciliation
Post insurance and patient payments accurately into the practice management system.
Reconcile daily deposits, EOBs, ERAs, and patient payments.
Identify and resolve payment discrepancies, underpayments, and missing remittances.
Accounts Receivable Management
Monitor aging reports and follow up on unpaid claims.
Initiate appeals with supporting documentation when appropriate.
Communicate with insurance companies to resolve claim issues.
Track and document all outreach, followups, and payer responses.
Patient Billing & Communication
Generate patient statements and manage patient balances.
Assist patients with billing questions in a professional, courteous manner.
Set up payment plans according to practice policy.
Maintain confidentiality and adhere to HIPAA at all times.
Compliance & Administrative Support
Ensure billing practices comply with federal, state, and payer regulations.
Maintain accurate, organized billing records for audits and reporting.
Collaborate with front desk and clinical staff to resolve documentation or eligibility issues.
Participate in workflow improvements and periodic billing reviews.

Qualifications
Minimum 2 years of medical billing experience (family practice or primary care preferred).
Strong understanding of CPT, ICD10, and insurance billing requirements.
Experience with claim submission portals, clearinghouses, and EMR/PM systems.
Excellent attention to detail, accuracy, and followthrough.
Strong communication and problemsolving skills.
Ability to work independently in a small office environment.
Knowledge of Medicare, Medicaid (AHCCCS), and commercial payer rules.

Work Environment
Small, supportive family practice with direct communication between billing, front desk, and clinical staff.
Inhouse position requiring confidentiality, professionalism, and consistent workflow management.