certified medical biller

Affinia Healthcare

<div>
 
 Position Summary:
 
 Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
 
 
 
 Education:
 
 Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Experience
 
 
 
 <ul>
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 Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
 </li>
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 Lab coding experience required.
 
 
 </li>
 </ul>
 
 Skills And Abilities
 
 
 
 <ul>
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 Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
 </li>
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 Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
 </li>
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 Knowledge of LCD/NCD coding policies regarding Laboratory Services
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 Ability to devise training materials to teach staff correct
 </li>
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 Professional demeanor and appearance, strong ethics, team player with positive attitude.
 </li>
 <li>
 Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
 
 
 </li>
 </ul>
 
 Transportation Requirement:
 
 None
 
 
 
 License(s)/Certification(s) Required:
 
 HIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Essential Functions
 
 
 
 <ul>
 <li>
 Reviews medical record documentation to identify all services provided by
 </li>
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 Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
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 Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
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 Assists with the submission of billing
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 Obtains and submits copies of medical documentation with clinician charges to support billing to third party
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 Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
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 Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
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 Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
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 Compiles monthly reports as
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 Identifies trends/problems in medical documentation and recommends possible solutions.
 </li>
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 Provides training support to billing department in handling of rejections and denials of
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 Correction and submission of reference lab billing requests.
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 Performs other duties as assigned.
 
 
 </li>
 </ul>
 
 Marginal Functions
 
 
 
 <ul>
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 Assists in audits.
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 Codes input forms as required.
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 Provides backup support to billing department.
 
 
 </li>
 </ul>
 
 Supervises:
 
 None
 
 
 
 NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
 
 
 
 
 NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
 
 
 
 
 AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 
</div>

Certified Medical Coder

Carolina Core Nutrition

Job Overview We are seeking a dynamic and detail-oriented Administrative Assistant/Medical Biller to join our healthcare team. This vital role combines administrative support with medical billing responsibilities, ensuring smooth clinic operations and accurate reimbursement processes. You will be the backbone of our office, managing patient records, coding procedures, and handling insurance claims with precision and professionalism. This is a slow-paced, low-stress environment that requires attention to detail, excellent customer service skills, and the ability to work independently.There will be a 3 month training period, after which pay will be increased and transitioned to a salaried position.Responsibilities<ul><li>Manage patient appointments, scheduling, and medical records to ensure organized and accessible documentation</li><li>Perform medical coding using CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes for accurate billing and record-keeping</li><li>Review and process medical claims, ensuring proper submission through EMR (Electronic Medical Records) or EHR (Electronic Health Records) systems</li><li>Follow up on unpaid claims, handle denials, and perform collections to optimize revenue cycle management</li><li>Verify insurance coverage, benefits, and authorizations to facilitate smooth billing processes</li><li>Maintain compliance with healthcare regulations by understanding DRG (Diagnosis-Related Group) classifications and other coding standards</li><li>Assist with administrative tasks such as data entry, filing, answering phone calls, and coordinating correspondence</li></ul>Requirements<ul><li>Proven experience in a medical office environment with familiarity in medical billing and administrative duties</li><li>Strong knowledge of medical terminology, medical records management, and healthcare documentation standards</li><li>Proficiency in medical coding including CPT coding, ICD coding (ICD-9 &amp; ICD-10), and DRG classifications</li><li>Experience with EMR/EHR systems for charting, billing, and claims processing</li><li>Ability to perform accurate medical collection activities and follow-up on unpaid accounts</li><li>Excellent organizational skills with attention to detail to ensure accuracy in coding and billing procedures</li><li>Knowledge of insurance verification processes, benefits management, and authorization procedures</li><li>Must be available Monday-Friday 8:30 a.m.-4:30 p.m.</li></ul>Join us to contribute your expertise in healthcare administration while advancing your career in a supportive environment that values accuracy, efficiency, and patient care excellence!Pay: $15.00 - $25.00 per hourWork Location: In person

Administrative Assistant/Medical Biller

Salina Family Healthcare Center

<div>Please note that this is an in-person, non-remote position. 
Hiring Range - $18.50 - 21.15\hour 
FLSA Status: Non-Exempt 
Coder/Biller I General Description 

The Coder/Biller I provides coding and insurance support to the Billing Department and demonstrates understanding of health insurance, Medicare, Medicaid, FQHC nuances and the SFHC discount program to ensure the integrity of claims &amp; maximize reimbursement. May screen patients and assist the uninsured with enrolling in applicable discount/insurance programs. If applicable would need to meet requirements and competencies to be designated as a &ldquo;Certified Application Counselor or Navigator&rdquo; under CMS/HRSA definition. May be required to meet performance standards of Presumptive Eligibility Specialist to enroll qualified pregnant women and children in Kansas Medicaid. 
Mission &amp; Value Statements 
The mission of Salina Family Healthcare Center is to serve our community at the crossroads of compassionate healthcare and professional education. 
Salina Family Healthcare Center is guided by the following fundamental values:
<ul>
<li>Excellence;</li>
<li>Innovation;</li>
<li>Access;</li>
<li>Teamwork;</li>
<li>Equal dignity;</li>
<li>Education;</li>
<li>Ethics &amp; integrity;</li>
<li>Patient-centered.</li></ul> 


Coder/Biller I Essential Duties
<div>
<ul><li>Efficient timely review of patient charges prior to creating claims for accuracy and completeness; obtain/correct any missing information to reduce claim denial prior to creating claims; including orchard and non-billable holds as a priority.</li></ul>
<ul><li>Accurately review /code encounters for appropriate diagnosis (ICD10), procedures (CPT), HCPCS codes and modifiers prior to billing claims to maximize reimbursement.</li></ul>
<ul><li>Demonstrates and maintains working knowledge of third-party payer regulations and claim policies to include FQHC, Medicare and Medicaid, 340B, Lab NCD &amp; LCD as well as SFHC discount program to accurately submit claims.</li></ul>
<ul><li>Assist with reducing claim denials.</li></ul>
<ul><li>Monitor, identify, research and resolve outstanding unpaid claims.</li></ul>
<ul><li>Ensure the Discount Program integrity by updating claims as well as appropriate practice management systems accurately &amp; timely.</li></ul>
<ul><li>Meet requirements and competencies to be designated as a &ldquo;certified application counselor or Navigator&rdquo; under CMS/HRSA definition, if applicable.</li></ul>
<ul><li>Obtain Presumptive Eligibility Specialist designation and meet performance standards as outlined by KDHE-DHCF in order to enroll our pregnant women and children that are eligible in Kansas Medicaid if applicable.</li></ul>
<ul><li>Attend meetings as required.</li></ul>
<ul><li>Perform other duties as assigned.</li></ul></div> 


Coder/Biller I Skills Required 
 
<div><ul><li>Ability to establish and maintain effective working relationships with staff, patients and the public. 
</li></ul>
<ul><li>Knowledge of HIPAA privacy rules and regulations.</li></ul>
<ul><li>Excellent interpersonal, mathematical, verbal and written communication skills.</li></ul>
<ul><li>Ability to efficiently complete work is reasonably void of errors, and high in accuracy.</li></ul>
<ul><li>Excellent customer service skills and ability to effectively and respectfully interact with unsatisfied patients and coworkers.</li></ul>
<ul><li>Ability to manage multiple tasks, work under pressure, and prioritize workload, while maintaining efficiency and accuracy.</li></ul>
<ul><li>Effective and efficient time management and organizational skills. 
</li></ul>
<ul><li>Ability to follow written policies and procedures.</li></ul>
<ul><li>Ability to work independently and use good judgment.</li></ul></div> 


Coder/Biller I Education and Experience 
<div>
<ul><li>High school diploma required;</li></ul>
<ul><li>Certified Professional Coder (CPC) OR equivalent of two years coding and insurance in a medical related field;</li></ul>
<ul><li>Excellent organization, prioritization, and follow-up skills required; 
</li></ul>
<ul><li>Requires knowledge of ICD10, CPT and HCPCS Coding;</li></ul>
<ul><li>Social and cultural sensitivity appropriate to ethnically and economically diverse patient and employee-base.</li></ul></div> 


To see the full job description, please email careers@salinahealth.org with your requests.</div>

Coder/Biller I (In-Person Only Position)

Billing Freedom

We are seeking an experienced medical biller with a strong background in medical billing and coding. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.<ul><li>Experience in CPT and ICD-10 coding</li><li>Claims appeal and resolution experience</li><li>Perform posting charges</li><li>Minimum of 1 month and up to 3 years of hands-on experience in Medical Billing.</li><li>Perform completion of claims to payers</li><li>Submit billing data to the appropriate insurance providers</li><li>Analysis and resolution of denied claims/cases. Identify and resolve billing issues</li><li>Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified.</li><li>Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient.</li><li>We are seeking an experienced medical biller with a strong background in medical billing and coding. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.</li></ul>Job Type: Full-timePay: Rs120,000.00 - Rs150,000.00 per monthApplication Question(s): * It's an onsite night shift job, are you able to do work from 8pm to 5am?Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Medical Billing: 1 year (Required)</li></ul>Work Location: In person

Senior Medical Biller

StoneGate Senior Living

Insurance Biller 100% On Site StoneGate Senior Living Lewisville, TX StoneGate Senior Living, a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX has an opportunity for an Insurance Biller with Managed Care Insurance experience to join our team! A rewarding career is waiting for you with a company that specializes in long-term and rehabilitative care! If you are an experienced Insurance Biller with Managed Care experience, we have the opportunity for you. This is not a remote position. As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with clinical liaisons, insurance carriers, and Skilled Nursing Facilities. The specialist will verify patients&rsquo; demographics, gathering and recording pertinent information, conform insurance/payor benefits, review preauthorization and complete processes and bill inpatients to the Skilled Nursing Facilities. Follow-up on all claims, moving copays, posting cash, appeals for non-paid claims and work all balances. Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. We look forward to you joining our team! Responsibilities: Understanding of SNF billing requirements and systems. Bills Insurance via UB04 detailed billing, non-episodic Tie NOMNCs to Insurance Authorization for billing and appeals. Full understand of ISNP systems and ability to bill per guidelines Detailed UB04/837 understanding Manage large load of claims from multiple facilities within deadlines Work closely with Team Members and billing issue resolutions Communicates effectively with clinical reimbursement Knowledge/understanding of Pharmacy exclusions and related billing procedures Post incoming remits and balance books Understand basic accounting knowledge and processes Working knowledge of national insurance clearing house systems Contact patient&rsquo;s insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if authorization is required. Communicates authorization status electronically and verbally if needed. . Maintains open communication with Team Members and Clinical Liaisons to ensure teamwork, cooperation and mutual respect. **This is not a Coder position**** Requirements: High school diploma. College degree in Business preferred Basic Accounting/bookkeeping skills needed. UB04 experience required Must have Managed Care Insurance experience. Experience in Skilled Nursing authorizations preferred. Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements. Ability to understand medical terminology. Ability to multi-task and prioritize duties. Strong Excel skills Excellent organizational skills. Uses a computer proficiently. Speaks and communicates English effectively, both in verbal and written format. **Note: this is NOT a coder position**

Insurance Biller

TruArc Health

<div>
 
 MVML, Inc. is seeking a detail-oriented Medical Biller to join our dynamic team. As a Medical Biller, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.
 
 
 
 
 
 
 Duties &amp; Responsibilities:
 
 
 <ul>
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 Review high volume of claims to ensure they meet billing guidelines.
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 Submit high volume of electronic claims accurately and timely.
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 Submit claims to secondary insurance with appropriate supporting documents.
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 Ensure claims are paid according to fee schedule.
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 Effectively review EOB denials and underpayments to determine best course of action (resubmission/appeals).
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 Track and manage unbilled claims due to missing information.
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 Post insurance payments accurately and timely.
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 Review and approve Electronic Remittance Advice (ERA).
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 Perform follow ups and obtain claims status through insurance portals and over the phone.
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 Perform verification of benefits and obtain authorizations when required.
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 Maintain productivity and quality levels set by management.
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 Perform additional duties as assigned by management.
 </li>
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 Adheres to all HIPPA and PHI guidelines.
 </li>
 </ul>
 
 
 
 
 
 QUALIFICATIONS:
 
 
 <ul>
 <li>
 1+ years of medical billing experience is required.
 </li>
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 Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and modifiers.
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 Experience working with EMR systems and clearinghouses.
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 Experience with commercial insurance, Medicare, and Medi-cal.
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 Experience with AdvancedMD preferred
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 Experience with PrognoCIS, OfficeAlly, Epic, Conexem, Dr. Chrono a plus
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 Strong knowledge of EOBs and ERAs.
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 Strong knowledge of timely filing limits.
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 Excellent communication and analytical skills.
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 Attention to detail and strong organizational skills.
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 Toxicology billing experience a plus.
 </li>
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 Medical billing certification a plus.
 </li>
 <li>
 Coding experience a plus.
 </li>
 </ul>
 
 
</div>

Medical Biller

Al Wafa Home Health Care

Job Purpose:The Medical Coder/Biller is responsible for accurately coding medical services, preparing insurance claims, and ensuring timely submission and approval of patient cases with insurance companies and regulatory authorities. This role ensures compliance with DHA/DOH/HAAD guidelines and supports the financial cycle of the home care services.Key Responsibilities:<ul><li>Medical Coding</li><li>Assign appropriate ICD-10, CPT, and other relevant codes to patient diagnoses, treatments, and procedures.</li><li>Ensure coding accuracy in line with DHA/DOH guidelines and payer requirements.</li><li>Review medical records, face-to-face reports, and clinical documentation for completeness and compliance.</li><li>Claims Preparation &amp; Submission</li><li>Prepare insurance claims and submit them to payers through the appropriate portals (e.g., Thiqa, Daman, etc.).</li><li>Track claim status and ensure timely approvals for patient admissions and services.</li><li>Follow up on pending claims, rejections, and denials, coordinating with physicians and nursing staff for supporting documents.</li><li>Coordination &amp; Documentation</li><li>Work closely with the Quality and KPI department to ensure compliance with insurance and regulatory requirements.</li><li>Coordinate with physicians, nurses, and patient families to collect missing documents or clarifications.</li><li>Maintain accurate patient records, coding logs, and submission reports.</li><li>Compliance &amp; Audit Support</li><li>Ensure adherence to all insurance regulations, DHA/DOH policies, and internal standards.</li><li>Support internal and external audits by providing accurate coding and submission records.</li><li>Stay updated with changes in medical coding guidelines and insurance requirements.</li></ul>Qualifications &amp; Requirements:<ul><li>Bachelor&rsquo;s Degree in a healthcare-related field or equivalent.</li><li>Certified Medical Coder (CPC, CCS, or equivalent certification) preferred.</li><li>Minimum 2 years of experience in medical coding and claim submissions (home care experience preferred).</li><li>Strong knowledge of ICD-10, CPT, and insurance billing procedures in the UAE healthcare system.</li><li>Proficiency in claim submission portals (e.g., Thiqa, Daman, NAS, etc.).</li><li>Excellent communication, problem-solving, and documentation skills.</li></ul>Job Type: Full-timePay: AED4,000.00 - AED6,000.00 per monthApplication Question(s):<ul><li>Are you available to join Immediately ? </li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Home Care: 2 years (Required)</li></ul>Location:<ul><li>Al-Ayn (Required)</li></ul>Work Location: In person

Medical Coder/ Biller

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