Medical Biller

We are seeking a dedicated and detail-oriented Medical Claims Specialist to join our team. The ideal candidate will be responsible for managing the claim follow-up process to ensure accuracy, efficiency, and compliance with healthcare regulations. You will work closely with patients, insurance companies, and internal teams to resolve discrepancies and ensure timely payment of services.

• Accurately review and respond to payment rejections and denials to ensure claims are processed correctly.
• Develop and submit customized appeals to insurance companies to avoid denials and ensure maximum reimbursement.
• Manage and fulfill requests for medical records from payers in a timely and accurate manner.
• Collaborate with patients or customers, third-party institutions, and other team members to identify and resolve billing inconsistencies and errors
• Accurately post payments received from payers and patients to appropriate claims in the billing system.
• Ensure patients are informed about their billing details and provide assistance to help them understand their statements and payment obligations.
• Maintain accurate and up-to-date financial records for each patient account involving payment history, upcoming payment information, or other financial data.

• High school diploma or equivalent (required);
  Associate's degree in healthcare administration or related field (preferred)
• Minimum of 2 years of experience in medical billing and coding
• Minimum of 2 years of experience in correspondence and medical claim denials
• Strong understanding of medical billing regulations and procedures, including ICD-10, CPT coding, and healthcare insurance guidelines
• Excellent communication skills, both verbal and written
• Strong attention to detail and ability to work in a fast-paced environment
• Proficiency in medical billing software and general office software (e.g., Microsoft Office)

• Medical, Dental, and Vision Insurance
  401(k) with 4% Matching
• Paid Time Off (PTO)