Medical Biller

Job Description

About the Role:

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:

• Verify patient insurance eligibility and benefits




• Review medical coding prior to claim submission to ensure accuracy and compliance




• Prepare, review, and submit medical claims using billing software, including both electronic and paper claims




• Review patient invoices for accuracy




• Follow up on unpaid or underpaid claims within designated timeframes




• Review insurance payments for accuracy and compliance with payer contracts




• Contact insurance companies to resolve payment discrepancies when needed




• Identify and submit claims to secondary and tertiary insurance carriers




• Review accounts for insurance and patient follow-up




• Research, appeal, and resolve denied or rejected claims in a timely manner




• Respond to patient and insurance inquiries related to assigned accounts via phone




• Set up patient payment plans and manage collection accounts as appropriate




• Monitor assigned accounts to ensure appropriate and timely reimbursement




• Communicate effectively with clients, internal support staff, and account managers as needed




• Maintain strict patient confidentiality in accordance with HIPAA regulations

Minimum Qualifications:

• 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 plans, Medicare (MIPS/MACRA), Medicaid, and other payer requirements




• Proficiency with computer systems and electronic medical billing software




• Strong verbal and written communication skills




• Ability to multitask, prioritize work, and manage time effectively




• Strong problem-solving skills and attention to detail




• Ability to work collaboratively in a team environment




• Knowledge of medical terminology commonly used in medical billing




• Commitment to maintaining patient confidentiality in compliance with HIPAA

Preferred Qualifications: 

• Experience with E-Clinical and Tebra




• Prior experience communicating directly with insurance payers to resolve discrepancies




• Customer service experience working directly with patients and families




• Experience setting up patient payment plans and managing collections




• Demonstrated ability to research, appeal, and resolve denied or rejected claims




• Experience working in a remote or fast-paced healthcare environment




• Commitment to continuing education and staying current with billing and coding updates

Job Type: Full-time 

Benefits: 

• Flexible schedule


• Paid time off


• Health Insurance


• 401K Matching

Schedule: 

• Monday to Friday

Work Location: Remote