Medical Biller

We are seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding, and facilitating timely reimbursement from insurance providers. This role requires a strong understanding of medical billing procedures, coding systems, and medical records management to support efficient revenue cycle operations. The Medical Biller will collaborate with medical staff and insurance companies to resolve billing issues and maintain compliance with healthcare regulations.

Key responsibilities include preparing and submitting accurate claims using DRG, CPT coding, ICD-10, and ICD coding standards; reviewing and verifying patient medical records for completeness and accuracy before billing; ensuring proper documentation of procedures, diagnoses, and treatments in EMR/EHR systems; following up on unpaid or denied claims with effective medical collection strategies; maintaining up-to-date knowledge of insurance policies, coding updates, and healthcare regulations; reconciling accounts receivable and processing adjustments as necessary; communicating with insurance companies to resolve claim discrepancies or rejections; assisting in maintaining organized medical records in compliance with privacy laws; and supporting other administrative tasks related to medical office operations.

Required skills include proficiency in medical billing software and EMR/EHR systems, strong knowledge of medical terminology, coding standards (DRG, CPT, ICD-9, ICD-10), and billing procedures; experience with medical collection processes and resolving insurance claim issues; familiarity with medical records management and healthcare documentation standards; ability to interpret complex medical documents and accurately assign appropriate codes; excellent attention to detail and organizational skills; and knowledge of healthcare regulations related to billing and coding compliance.

This position offers the opportunity to contribute significantly to the efficiency of healthcare services while working in a professional environment valuing accuracy and integrity in medical billing practices.