Medical Biller and Administrative Assistant

Responsible for submitting accurate and timely claim billings and reports based on health plan, payor, or contract requirements. This role also handles accounts receivable payment follow-up, appeals, refunds when necessary, and administrative support to help ensure efficient office operations.

This is an in-office position with day, swing, and night shifts available.

Essential functions

• Complete health plan billings based on requirements.
• Compile proper paperwork and conduct research to appeal claim denials, including requests for refunds or credits when applicable.
• Review and monitor reimbursements due from different payors to determine appropriate collection methods.
• Communicate effectively and professionally with external customers.
• Resolve payment issues with carriers, including denials and partial payments.
• Review, modify, and re-bill rejected or denied claims.
• Assist the cash department with payor backup as needed for payments received.
• Adhere to information systems security policies and procedures.
• Follow all company policies and procedures.
• Work overtime if assigned by management.
• Be flexible with shifting daily priorities.
• Meet deadlines within tight time constraints.
• Handle a large volume of work.
• Meet or exceed established productivity and quality standards.
• Perform other duties as assigned.