Job Overview
We are seeking a detail-oriented and dedicated Medical Biller to join our healthcare administration team. The ideal candidate will have a strong understanding of medical billing processes, coding systems, and insurance procedures. In this role, you will be responsible for accurately submitting claims, managing accounts receivable, and ensuring timely reimbursement for medical services rendered. Your work will support the financial health of the practice while maintaining compliance with healthcare regulations and standards.
Responsibilities
- Prepare and submit accurate insurance claims using appropriate coding systems such as CPT, ICD-9, ICD-10, and DRG classifications.
- Review medical records and documentation to ensure proper coding and billing accuracy.
- Verify patient insurance coverage and eligibility prior to service delivery.
- Follow up on unpaid claims, initiate collections, and resolve billing discrepancies efficiently.
- Maintain detailed records of billing activities within EMR and EHR systems.
- Collaborate with healthcare providers to clarify documentation and ensure compliance with coding guidelines.
- Stay updated on changes in medical coding standards, insurance policies, and healthcare regulations.
- Ensure all billing practices adhere to legal and ethical standards while optimizing revenue cycle management.
- Assist in resolving patient billing inquiries with professionalism and clarity.
- Contribute to the continuous improvement of billing workflows to enhance accuracy and efficiency.
Requirements & Qualifications
Qualifications
- Proven experience in medical billing with familiarity in medical terminology, medical records management, and coding practices.
- Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and ICD coding systems essential for accurate claim processing.
- Experience working with EMR/EHR systems is required for efficient data entry and record keeping.
- Solid understanding of medical office procedures, insurance claims processing, and medical collections.
- Excellent attention to detail with the ability to review complex documentation thoroughly.
- Effective communication skills to liaise with insurance companies, healthcare providers, and patients professionally.
- Knowledge of healthcare compliance standards including HIPAA regulations is preferred.
- Prior experience in a healthcare setting or medical office environment is advantageous but not mandatory.
Benefits & Perks
Benefits
- 401(k) matching
- Employee discount
- Flexible schedule
- Health insurance
- Paid time off
- Retirement plan
Location
Texas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
9 months ago
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