Medical Biller

Job Description

Job Description

Description:

We are currently seeking a Medical Biller to manage accurate and timely revenue cycle operations for our outpatient behavioral health clinics. This position requires deep knowledge of full-cycle billing processes, including claim submission, payment posting, denial resolution, and patient account management. The Medical Biller will collaborate with clinic sites and patients to keep ledgers accurate, accelerate cash flow, and reduce avoidable write-offs.

Key Responsibilities

• Claim Submission: Prepare and submit electronic and paper claims in accordance with payer guidelines.
• Payment Posting: Post insurance and patient payments (including zero-payments) accurately and efficiently.
• Denial & AR Resolution: Review, investigate, and resolve claim denials, escalating complex issues as necessary.
• Patient Account Management: Manage patient balances, establish payment arrangements, and professionally handle statement inquiries.
• Insurance Verification: Update coverage details and verify insurance eligibility for active patients.
• Payer Portal Utilization: Navigate payer websites to audit claims, track payment status, and submit appeals (training provided).
• Communication Support: Answer incoming calls and assist patients or clinic staff with billing-related questions.
• Team Collaboration: Support special revenue cycle projects and provide backup coverage across the billing department.

Qualifications & Skills

• Experience: 2+ years of dedicated medical billing experience; behavioral health or outpatient clinic experience is highly preferred.
• RCM Knowledge: Comprehensive understanding of full-cycle revenue operations (claims, denials, accounts receivable, and payment posting).
• Payer Familiarity: Knowledge of Medicare, Medicaid, and major commercial insurance plan guidelines is a strong plus.
• Technical Proficiency: Comfortable working across multiple payer portals and electronic practice management systems.
• Core Competencies: High attention to detail, exceptional organizational skills, excellent verbal/written communication, and the ability to manage competing priorities.

Benefits:
We offer eligible employees competitive pay and access to a range of benefits and support programs based on assignment type, schedule, length of employment, and eligibility requirements, including medical, dental, vision, prescription coverage, short-term disability, 401(k), employee assistance, childcare assistance, discounts, paid holidays, and longevity bonuses. Depending on the benefit, cost may be paid by the Company, the employee, or shared between both.

EOE:
We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.

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