Medical Biller

Job Description

Job Description

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

The Medical Biller will be responsible for the timely and accurate submission and follow-up of medical claims, insurance verification and billing-related tasks, accounts receivable follow-up, payment posting, denial management, and appeals.

The ideal candidate will have strong knowledge of medical insurance billing and be comfortable working independently while communicating effectively with clinical and administrative staff.

Wound-care billing experience is highly preferred.

• Prepare, review, and submit clean medical claims to insurance companies.
• Review claims for accuracy and completeness prior to submission.
• Follow up on unpaid, rejected, and denied claims.
• Research and resolve claim denials and billing issues.
• File and track insurance appeals and reconsiderations.
• Work accounts receivable and identify outstanding balances requiring follow-up.
• Verify insurance eligibility and benefits when needed.
• Review patient accounts for accurate charges, payments, adjustments, and balances.
• Post insurance and patient payments accurately.
• Monitor aging reports and prioritize accounts based on timely filing and other payer deadlines.
• Communicate with insurance companies regarding claim status, payment issues, denials, and appeals.
• Maintain accurate documentation of billing follow-up and correspondence.
• Identify recurring billing issues and communicate them to management.
• Work closely with clinical and front-office staff to resolve missing or incorrect information.
• Maintain patient confidentiality and comply with HIPAA regulations.
• Assist with Medicare, Medicaid, Medicare Advantage, commercial insurance, and other payer requirements.
• Stay current with payer requirements, billing guidelines, and changes affecting wound-care services.
• Perform other billing and administrative duties as assigned.

• Strong customer service skills
• Previous experience with medical coding or billing desired
• Strong organization skills
• Excellent attention to detail