Medical Biller (Charge Creation)

About Us:

Doctors Urgent Care Group is a fast-growing, multi-million dollar urgent care corporation operating 31 locations nationwide with over 300 employees across 5 states. We bridge the gap between high-volume clinic demands and seamless technology. We are seeking a highly detail-oriented, accurate, and efficient Medical Biller specializing in Charge Creation to join our collaborative RCM team on-site.

We offer competitive compensation ranging from 45K-65K (based directly on experience) along with a comprehensive benefits package including Medical Compensation, Paid Sick Leaves, and Paid Holiday Leaves.

Job Summary:
The Medical Biller (Charge Creation Specialist) owns the critical front-end data entry and charge capture phase of our revenue cycle. Operating on-site within AdvancedMD, your primary mission is to audit daily clinical encounters and transform medical documentation into accurate, clean claims. This role bridges the gap between what the provider performs in the exam room and what is billed to insurance. You will ensure that proper codes, modifiers, and demographics are entered flawlessly to maximize data compliance and prevent front-end clearinghouse rejections.

Core Duties and Responsibilities:

Charge Capture & Auditing: Audit daily clinic schedules, logs, and electronic charts against submitted encounters to ensure every single visit has a corresponding charge generated, preventing missing revenue.

Encounter Data Entry: Accurately enter and validate patient demographics, insurance details, and clinical encounter metrics within AdvancedMD.

Coding & Modifier Verification: Review provider charts to ensure proper quality and alignment of ICD-10 (diagnosis) codes, CPT (procedure) codes, and HCPCS modifiers before final claim processing.

Insurance Guideline Review: Verify insurance eligibility, deductibles, co-insurance, and specific regional requirements for Medicare, Medicaid, and commercial payers.

Claim Scrubbing Collaboration: Identify, investigate, and resolve front-end data discrepancies, missing signatures, or coding conflicts before claims are batched and submitted.

Turnaround Management: Maintain strict adherence to daily and monthly charge entry deadlines to ensure a steady, uninterrupted workflow of outbound billing.

Required Skills and Qualifications

Data-Entry Accuracy: High-speed alphanumeric typing capabilities combined with meticulous attention to detail to minimize keystroke errors.

Coding Fundamentals: Strong foundational knowledge of CPT, ICD-10, and HCPCS coding structures, urgent care modifiers, and clinical fee schedules.

Payer Guideline Literacy: Strong working knowledge of Medicare, Medicaid, and commercial insurance policies, specifically regarding urgent care deductibles and reimbursement criteria.

Analytical Problem-Solving: Ability to cross-reference provider notes with standardized insurance billing rules to spot documentation gaps.

Experience and Education Requirements

Experience: Minimum 1+ years of dedicated experience as a Medical Biller with verifiable hands-on experience in charge creation, charge capture, or front-end claim generation. Experience in a high-volume outpatient or urgent care setting is preferred.

Software Expertise: Minimum 1+ years of professional hands-on experience using AdvancedMD.

Assessment: Must be completely willing to complete an AdvancedMD technical skill test during the interview process.

Compliance: Thorough understanding of HIPAA regulations and a strict commitment to maintaining total data privacy.

Pay: Rs65,000.00 - Rs100,000.00 per month

Work Location: In person