Medical Biller

Dedicated Medical Biller to drive the day-to-day revenue cycle for a busy Women’s Health practice. You will be the engine behind our billing operations—ensuring claims are clean, denials are minimized, and A/R stays lean. We are looking for a hands-on expert who is deeply familiar with the nuances of women's health and ultrasound coding and payer requirements. Systems: Kareo/Tebra and PracticeFusion.

THIS IS AN IN-OFFICE POSITION IN ALBUQUERQUE, NEW MEXICO

What you’ll do:

• Full Cycle Ownership: Handle end-to-end billing including charge capture, scrubbing, daily claim submission, payment posting, and patient statements.
• A/R & Denial Management: Aggressively work the aging report; identify denial trends, file timely appeals, and resolve insurance/patient balances.
• Accuracy & Compliance: Ensure strict adherence to HIPAA guidelines and verify that documentation supports CPT/ICD-10 code selection.
• Front-End Collaboration: Work closely with the front desk and clinicians to resolve eligibility issues or documentation gaps.
• Reporting: Assist in tracking weekly/monthly billing metrics to ensure practice health.

What you bring:

• 3–5+ years of RCM experience; specific experience in Women's Health/OB-GYN is a significant plus.
• Technical Expertise: Strong mastery of CPT/ICD-10, modifiers, Medicare/Medicaid MCOs, Tricare, and commercial payer rules.
• Software Proficiency: Hands-on experience with Kareo/Tebra and PracticeFusion is strongly preferred.
• Detail-Oriented: A "detective" mindset for resolving complex denials and a high level of data entry accuracy.
• Certifications: CPB, CMRS, or CPC preferred (or equivalent proven experience).
• Professionalism: Excellent communication skills for patient collections and insurance representative inquiries.

Compensation:

• Philosophy: Most hires start in the middle of the range based on experience and demonstrated efficiency. We value reliability and a track record of maintaining low A/R days. A 90-day performance review will be conducted with potential for pay adjustment.
• Leveling: Hiring for Medical Biller; title may be adjusted to Senior Medical Biller based on years of specialized experience.
• Pay: Target hiring range $20–$25/hr (commensurate with experience).
• Benefits: Health, dental, vision, PTO, paid holidays, and retirement plan with employer match.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Application Question(s):

• Which systems have you used professionally?

Kareo/Tebra
PracticeFusion
Other EHR (specify)
Other billing/practice management/clearinghouse (specify)

• Are you able to work onsite in Albuquerque, NM, Monday–Friday, 8:00 AM–4:30 PM?

Experience:

• hands-on medical billing/revenue cycle: 3 years (Required)

Work Location: In person