Medical Claims Processor

Join our dedicated team and play a critical role in ensuring our clinic's financial health and patient satisfaction! We are seeking a detail-oriented and experienced Medical Claims Processor to manage the full revenue cycle and support our collaborative team environment .

Job SummaryResponsible for accurate medical claims processing, insurance verifications, and payment posting, while ensuring maximum reimbursement through proper billing practices.

Key Responsibilities

• Submit clean claims to insurance companies and conduct timely follow-up on unpaid claims.
• Verify patient insurance eligibility and benefits.
• Process and post payments accurately from insurance companies and patients .
• Review, investigate, and appeal denied claims .
• Ensure full compliance with billing regulations and coding guidelines (e.g., HIPAA).
• Handle patient billing inquiries and resolve discrepancies with excellent customer service skills .
• Maintain accurate patient records and billing documentation in EMR systems.
• Work collaboratively with clinical staff to ensure proper documentation .

Qualifications and SkillsRequired

• High School graduate or equivalent.
• 2+ years of medical billing experience.
• Proficiency in medical billing software and EMR systems.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication abilities.

Preferred

• Medical Billing certification (CPC, CBCS, or similar).
• Strong knowledge of CPT, ICD-10, and HCPCS coding.
• Prior experience in healthcare collections.
• Experience with specific software: Athena Practice.

Compensation & BenefitsPay rate is competitive and commensurate with experience.

Pay: $13.00 - $18.00 per hour

Benefits:

• Employee discount
• Paid time off

Work Location: In person