patient biller

Doctors Urgent Care Group

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 &amp; 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 &amp; 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 QualificationsData-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 RequirementsExperience: 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 monthWork Location: In person

Medical Biller (Charge Creation)

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

Buckingham Pediatric, PC

OverviewBuckingham Pediatrics, P.C. is hiring for a part time .We are seeking a dedicated and detail-oriented Medical Biller / Front Receptionist to join our team.Duties to Include but not limited to the following:<ul><li>Medical Billing all phases</li><li>Answer Phone</li><li>Make patient appointments</li><li>Enter Referrals</li><li>Greet our parents and patients in a happy friendly manner</li><li>Collect demographic information and enter into the system</li><li>Assist with ICD and CPT Coding</li><li>Verify Insurance policies and update patient insurance information</li><li>HIPPA Complaint</li><li>Work the Aged report.</li><li>Work with the Insurance</li><li>Work with Parents/Patient to get payment and correct information</li><li>Posting Payment</li><li>Posting Charges</li><li>Scanning</li><li>Assist with ICD/CPT coding</li><li>Duties as assigned</li></ul>Skills<ul><li>Proficient in medical billing, coding, and collections with a solid understanding of medical terminology.</li><li>Experience with ICD coding and CPT coding is essential.</li><li>Previous medical office experience is preferred, demonstrating knowledge of healthcare operations.</li><li>Strong attention to detail with excellent organizational skills to manage multiple tasks efficiently.</li><li>Ability to communicate effectively with patients, providers, staff and insurance companies regarding billing inquiries.</li><li>Competence in using EMR and EHR systems for accurate record keeping and data management.</li></ul>Job Type: Part-timePay: From $20.00 per hourAbility to Commute:<ul><li>Doylestown, PA 18902 (Required)</li></ul>Work Location: In person

Medical Biller / Receptionist

Speech Therapy For All P.C.

Medical Biller / Claims Denial Specialist (Pediatric Practice) Hauppauge, NY | Full-TimeSalary: $22 &ndash; $30/hour (based on experience) + Performance IncentivesAbout UsWe are a growing pediatric speech therapy private practice dedicated to providing exceptional care to children and families. As our practice expands, we are seeking a detail-oriented and experienced Medical Biller / Claims Denial Specialist to take ownership of our billing processes and help maximize revenue through efficient claims management.Why Join Us?<ul><li>Competitive pay + performance-based incentives</li><li>Stable, growing healthcare practice</li><li>Supportive and team-oriented work environment</li><li>Opportunity to take ownership of billing operations and make a direct impact</li><li>Long-term growth potential</li></ul>Key Responsibilities<ul><li>Submit, track, and manage insurance claims accurately and efficiently</li><li>Identify, analyze, and resolve claim denials and rejections in a timely manner</li><li>Work denied claims from start to resolution, including appeals and follow-ups</li><li>Ensure proper use of CPT, ICD-10, and HCPCS codes for pediatric therapy services</li><li>Verify patient insurance benefits and eligibility as needed</li><li>Communicate with insurance companies regarding claim status and discrepancies</li><li>Monitor accounts receivable and maintain strong follow-up on outstanding balances</li><li>Collaborate with clinical and administrative staff to ensure accurate documentation and billing</li><li>Maintain compliance with all healthcare billing regulations and payer requirements</li></ul>What We&rsquo;re Looking For<ul><li>2&ndash;5+ years of medical billing experience, preferably in a healthcare or pediatric setting</li><li>Strong experience with claims management and denial resolution (REQUIRED)</li><li>Solid understanding of CPT, ICD-10, and HCPCS coding</li><li>Experience working with commercial insurance, Medicaid, and managed care plans</li><li>High attention to detail and strong organizational skills</li><li>Ability to work independently and manage a high volume of claims</li><li>Strong communication and problem-solving skills</li></ul>Preferred Qualifications<ul><li>Experience in speech therapy, occupational therapy, or pediatric billing</li><li>Familiarity with EMR/EHR systems and billing software</li><li>Knowledge of payer-specific guidelines and appeals processes</li></ul>What Success Looks Like in This Role<ul><li>Reduced claim denial rates</li><li>Faster claim turnaround and increased collections</li><li>Strong follow-through on accounts receivable</li><li>Improved billing accuracy and compliance</li></ul>Ready to Apply?If you are a results-driven billing professional who understands the ins and outs of healthcare claims and takes pride in resolving denials and maximizing revenue, we want to hear from you.Apply today with your resume and a brief summary of your experience.Job Type: Full-time Schedule: Monday to Friday Work Location: In-person / HybridPay: $22.00 - $30.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Ability to Relocate:<ul><li>Hauppauge, NY 11749: Relocate before starting work (Required)</li></ul>Work Location: In person

Medical Biller/Claims Denial Specialist

Kidney Associates of Kansas City

<div>Medical Biller &amp; Coder (Certified)
Kidney Associates of Kansas City &ndash; Kansas City, MO
Fun, challenging team environment with excellent benefits!
Kidney Associates of Kansas City is seeking a detail-oriented and experienced Medical Biller &amp; Certified Medical Coder to join our team. This role plays a vital part across the entire revenue cycle-from coding and claim submission through payment posting and follow-up-ensuring accuracy, compliance, and optimal reimbursement.
Position Details<ul><li>
Full-time schedule:</li><li><ul><li>
Monday&ndash;Thursday: 8:30 AM &ndash; 5:00 PM</li><li>
Friday: 8:30 AM &ndash; 4:30 PM</li></ul></li><li>
Hybrid work option: 3 days onsite / 2 days remote (after training)</li><li>
Must reside in the Kansas City area</li></ul>
Key Responsibilities<ul><li>
Review medical codes (ICD-10, CPT, HCPCS) for accuracy prior to claim submission</li><li>
Perform internal coding audits to ensure accuracy and compliance with regulations and payer requirements</li><li>
Submit claims to insurance carriers in a timely manner</li><li>
Post payments and reconcile accounts</li><li>
Perform claims follow-up, including denials, corrections, appeals, and resubmissions</li><li>
Manage collections and outstanding balances</li><li>
Work across all aspects of the revenue cycle, not limited to coding</li><li>
Ensure compliance with coding guidelines and billing regulations</li><li>
Maintain accurate documentation within the Electronic Medical Records (EMR) system</li></ul>
Qualifications<ul><li>
Required Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent</li><li>
1&ndash;2 years of medical billing and coding experience required</li><li>
Strong knowledge of insurance processes, coding standards, and reimbursement procedures</li><li>
Experience with EMR systems required; eClinicalWorks (eCW) preferred</li><li>
Excellent attention to detail, organization, and communication skills</li></ul>
Benefits<ul><li>
Competitive salary</li><li>
Healthy Work-life Balance</li><li>
Comprehensive benefits package, including:</li><li><ul><li>
Medical, Dental, &amp; Vision insurance</li><li>
Paid time Off + Holiday Pay</li><li>
401(k) Retirement Plan</li></ul></li><li>
Supportive, team-oriented work environment</li></ul>
Equal Opportunity Employer</div>

Certified Medical Biller & Coder

Supportive ABA Therapy

<div>We're looking for a detail-oriented ABA Biller to join our revenue cycle team. You'll handle claim submissions for ABA therapy services, manage denials and appeals, verify authorizations, and ensure billing compliance across Medicaid and commercial payers. The ideal candidate has 2+ years of medical billing experience, including at least 2 year in an ABA setting, and is familiar with ABA-specific CPT codes and platforms like CentralReach. We offer competitive pay, full benefits, and a supportive, mission-driven team. Apply today to make an impact in the lives of those we serve.<ul><li>
Full time in office position</li><li>
Medical, Dental, and vision insurance.</li><li>
Supportive work environment and growth oppurtunities.</li><li>
Central Reach Experience Required</li></ul></div>

ABA Medical Biller (Hollywood office)

Gainwell Technologies

<div>
 It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
 
 
 
 Summary
 
 
 
 We are seeking a talented individual for a Nurse Reviewer- Itemized Bill Review role to perform reviews of medical records, healthcare claims, itemized medical bills, and UB‑04 forms to ensure accuracy, compliance, and proper billing practices. This position requires clinical review expertise as well as experience with itemized bill review.
 
 
 
 Your role in our mission
 
 
 
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 <li>
 Review medical claims using the UB‑04 and detailed itemized statements to validate line‑item charges.
 </li>
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 Verify accuracy of itemized charges in accordance with client policy and industry standards.
 </li>
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 Perform level‑of‑care and utilization reviews by analyzing medical records and comparing them against criteria to determine appropriateness and reasonableness of care.
 </li>
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 Apply critical thinking and decision‑making skills to determine whether medical record documentation supports the need for services while meeting production goals and quality standards.
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 Assist management with training new reviewers, including daily monitoring, mentoring, feedback, and education.
 </li>
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 Maintain current knowledge of clinical criteria guidelines and/or coding guidelines; complete required CEUs to maintain RN licensure.
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 Attend training and scheduled meetings to enhance knowledge of clinical policies, procedures, rules, and regulations.
 </li>
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 Actively cross‑train to perform reviews of multiple claim types to support a flexible workforce that meets client needs.
 
 
 </li>
 </ul>
 
 What We're Looking For
 
 
 
 <ul>
 <li>
 Active, unrestricted RN license in the United States and in the primary state of residence; active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) required.
 </li>
 <li>
 5+ years of clinical experience in an inpatient hospital setting required.
 </li>
 <li>
 1+ year of itemized bill review experience required.
 </li>
 <li>
 3+ years of utilization review or claims auditing experience preferred.
 </li>
 <li>
 Experience with CPT, ICD‑10, and HCPCS coding guidelines.
 </li>
 <li>
 Experience using MCG or InterQual criteria preferred.
 </li>
 <li>
 Ability to multitask in a fast‑paced production environment.
 
 
 </li>
 </ul>
 
 What You Should Expect In This Role
 
 
 
 <ul>
 <li>
 This is a home‑based position, and you must have a work location within the continental United States.
 </li>
 <li>
 You must provide a high‑speed internet connection and maintain a work environment free from distractions.
 </li>
 <li>
 Ability to work during normal business hours, as this role requires frequent interaction with the team and other departments.
 </li>
 <li>
 May be required to work extended hours for special business needs.
 </li>
 <li>
 May be required to travel at least 10% of the time based on business needs.
 
 
 </li>
 </ul>
 This position is for pipeline purposes, and we welcome applications on an ongoing basis.
 
 
 The pay range for this position is $78,000.00 - $85,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
 
 
 We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
 
 
 
 Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
 
</div>

Nurse Reviewer - Itemized Bill Review

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