Job Summary - Apply to: Bill.ingDept_ArroyoOaks@hotmail.com
We are seeking an experienced, detail-oriented Family Practice Medical Biller to manage our full revenue cycle. This is a strictly in-office position responsible for converting daily clinical encounters into accurate claims, processing payments, and keeping our Accounts Receivable (A/R) under 30 days.
The ideal candidate possesses an advanced understanding of primary care coding guidelines, handles electronic remittances seamlessly, and enjoys solving claim denials.
Core Responsibilities
- Charge Posting & Submission: Post all office charges. Sending claims electronically to payor.
- Electronic Remit Management: Download, review, and reconcile electronic remittance advice (ERAs/EOBs) from the clearinghouse daily.
- Manual Payment Posting: Manually input and balance payments received via paper checks, patient portions, .
- A/R Management: Work the A/R aging reports consistently to identify unpaid or neglected claims, re-submitting and appealing as necessary.
- Denial Appeals: Interpret insurance denial codes to correct claims, add appropriate coding documentation, and track payment retrieval.
Required Skills & Qualifications
- Family Practice Experience: Minimum 2–3 years of dedicated medical billing experience in a primary care or outpatient clinic setting.
- Coding System Mastery: Solid, practical knowledge of CPT (preventive visits, E/M levels), ICD-10-CM (chronic conditions), and HCPCS codes.
- Modifier Accuracy: Demonstrated capability to properly utilize billing modifiers (e.g., Modifiers 25, 59) to prevent immediate line-item denials.
- Payer Regulations: Deep understanding of commercial PPO plans, Medicare guidelines, and local Medicaid/Medi-Cal regulations
Pay: $23.00 - $28.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Flexible schedule
- Health insurance
- Retirement plan
Work Location: In person