About Us:
We are a busy, patient-centered multi-speciality practice seeking a detail-oriented and experienced Medical Biller for our Primary Care team. This is an in-office position requiring strong knowledge of medical billing best practices, claim follow-up, reimbursement procedures, and patient communication.
Position Summary:
The Medical Biller will be responsible for the Primary Care revenue-cycle process, including payment posting, denial management and appeals. This role is essential in ensuring accurate billing, timely reimbursement, and providing ongoing support to both patients and the practice team. This is a full-time (30+ hours per week), in-office position.
Key Responsibilities:
- Post electronic and manual insurance payments accurately, including adjustments and denials.
- Review and resolve claim rejections and denials promptly.
- Draft, submit, and track appeals for denied claims.
- Perform internal audits on commonly billed CPT and HCPCS codes to ensure accurate payer reimbursement.
- Stay current with payer-specific billing and coding policies, and ensure ongoing adherence to regulations.
- Research and respond professionally to patient billing inquiries and resolve disputes.
- Generate and analyze monthly revenue reports for accounting.
- Participate in monthly provider meetings to share billing/denial trends, discuss coding issues, and provide strategies to maximize reimbursement and streamline processes.
- Collaborate with clinical and administrative staff to ensure accurate charge capture and coding practices.
- Maintain organized documentation of billing activities, appeals, audits, and correspondence.
- Assist front desk staff with coverage as needed, including check-in/check-out, scheduling, and phone support.
- Keep up-to-date with ICD-10, CPT, and HCPCS coding standards and billing regulations.
- Support credentialing updates and payer enrollments as needed.
- Utilize clearinghouse tools to manage claim submissions and remittance advice.
Requirements:
- 3+ years of recent medical billing experience, preferably in a primary care or family medicine setting.
- Strong knowledge of CPT, HCPCS, and ICD-10 coding, with a solid understanding of billing guidelines and compliance.
- Experience with eClinicalWorks (eCW) is highly preferred.
- Experience using Trizetto clearinghouse is highly preferred.
- Proficiency in electronic claims submission, EOB interpretation, and revenue cycle workflows.
- Expert in navigating payer websites and payment portals
- Strong analytical and communication skills.
- Ability to manage multiple tasks and deadlines with accuracy and efficiency.
- Professional and courteous demeanor when communicating with patients, payers, and team members.
Benefits:
- Competitive compensation based on experience.
- Supportive work environment with opportunities for professional growth.
- Flexible, stable full-time scheduling.
- Medical, Dental and Vision insurance
- Paid Time Off
- $20 - 24 starting pay DOE
If you are passionate about healthcare administration and possess the necessary skills, we encourage you to apply for this rewarding opportunity as a Medical Biller!
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Benefits:
- Dental insurance
- Employee discount
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
Work Location: In person
