Medical Biller

We are seeking a detail-oriented and highly organized Medical Biller to join our growing team. In this role, you will be responsible for managing the full medical billing lifecycle: from eligibility verification and claim submission to payment posting and follow-up, while providing excellent service to both patients and internal stakeholders. This is a great opportunity for someone who thrives in a collaborative, fast-paced environment and takes pride in accuracy, compliance, and patient advocacy.

Key responsibilities include verifying patient insurance eligibility and benefits, reviewing medical coding prior to claim submission for accuracy and compliance, preparing and submitting medical claims using billing software, reviewing patient invoices, following up on unpaid claims, reviewing insurance payments, contacting insurance companies to resolve discrepancies, identifying and submitting claims to secondary and tertiary carriers, researching and resolving denied claims, responding to patient and insurance inquiries, setting up patient payment plans, managing collection accounts, monitoring accounts for timely reimbursement, communicating effectively with clients and staff, and maintaining strict patient confidentiality in accordance with HIPAA regulations.

Minimum qualifications are a high school diploma or equivalent, experience with medical billing and claims processing, competency in outpatient and inpatient medical coding, working knowledge of CPT and ICD-10 coding, familiarity with insurance guidelines including HMO/PPO, Medicare, Medicaid, proficiency with electronic medical billing software, strong communication skills, ability to multitask and prioritize, strong problem-solving skills, teamwork ability, knowledge of medical terminology, and commitment to HIPAA compliance.

Preferred qualifications include experience with E-Clinical and Tebra software, prior communication with insurance payers, customer service experience with patients and families, experience managing payment plans and collections, demonstrated ability to research and resolve denied claims, experience in remote or fast-paced healthcare environment, and commitment to continuing education in billing and coding.

Benefits offered are flexible schedule, paid time off, health insurance, and 401K matching. Schedule is Monday to Friday. Position is remote.