Medical Biller/Collector

AR specialist with experience in denial management and insurance claims correction and follow up

Job Overview
We are seeking a detail-oriented and proactive Medical Biller/Collector to join our healthcare administration team. The ideal candidate will possess a comprehensive understanding of medical billing processes, coding procedures, and collections management. In this role, you will be responsible for accurately processing claims, ensuring timely reimbursement, and maintaining positive relationships with insurance providers and patients. Your expertise in medical coding, including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) coding, ICD-9, and ICD-10 classifications, will be essential to optimize revenue cycle operations and support the overall financial health of the practice.

Duties

• Prepare and submit accurate insurance claims using EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems, ensuring compliance with coding standards.
• Review medical records and documentation to assign appropriate ICD coding, including ICD-9 and ICD-10 classifications, and CPT codes for procedures.
• Follow up on unpaid or denied claims promptly to facilitate resolution and maximize collections.
• Communicate effectively with insurance companies to clarify claim issues and secure reimbursements.
• Manage patient accounts by processing payments, posting adjustments, and conducting collection efforts for overdue balances.
• Maintain detailed records of billing activities, collections, and correspondence related to medical records and claims.
• Stay updated on changes in medical billing regulations, coding guidelines, and insurance policies to ensure ongoing compliance.
• Collaborate with healthcare providers to verify billing information and improve documentation accuracy for future claims.

Requirements

• Proven experience in medical billing and collections within a healthcare setting.
• Strong knowledge of medical terminology, medical coding (DRG, CPT coding, ICD-9, ICD-10), and billing procedures.
• Familiarity with EMR/EHR systems used for documentation and claim submission.
• Understanding of insurance processes, including pre-authorizations, claim denials, appeals, and collections.
• Excellent attention to detail with the ability to analyze complex medical records for accurate coding.
• Effective communication skills for interacting with insurance representatives, patients, and healthcare staff.
• Prior experience in medical office environments is preferred; familiarity with medical records management is advantageous.
• Ability to adapt quickly to regulatory updates in medical billing standards and coding practices. Join our team as a Medical Biller/Collector to contribute your expertise in optimizing revenue cycles while supporting our commitment to high-quality patient care through precise billing practices!

Pay: $23.00 - $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person