MEDICAL BILLING AND CODING

Job Description

Job Description

Position Overview
We are seeking an experienced and detail-oriented Medical Biller to join our growing multi-location medical practice. This is responsible for ensuring accurate and timely submission of claims, follow-up on unpaid claims, and maximizing reimbursement while maintaining compliance with all payer guidelines.

Key Responsibilities

• Review and correct claim prior to submission
• Follow up on denied, rejected, or unpaid claims with insurance companies
• Verify patient insurance eligibility and benefits when needed
• Work aging reports and identify trends in denials with recommendations for improvements
• Ensure compliance with all payer regulations and guidelines
• Communicate with front desk, billing team, and providers to resolve billing issues
• Assist with patient billing inquiries and payment plans as needed

Qualifications

• Minimum 2+ years of medical billing experience
• Strong knowledge of CPT, ICD-10, and HCPCS coding
• Experience with payer portals (i.e. Medicare Connex, Availity, UHC, etc)
• Experience with EMR/PM systems 
• Strong understanding of claim denials and appeals process
• Excellent attention to detail and organizational skills
• Ability to work independently and as part of a team

Preferred Qualifications

• Understanding medical billing process and guidelines
• Experience in interventional pain management and vascular preferred but not required
• Knowledge of prior authorizations, predeterminations, and referrals

What We Offer

• Competitive salary (based on experience)
• Health, dental, and vision benefits
• Paid time off and holidays
• 401K Retirement plans