Medical Biller

• Process and submit medical claims for Medicare, Medicaid, commercial insurance, and managed care plans
• Review claims for accuracy, completeness, and compliance prior to submission
• Follow up on unpaid, denied, or rejected claims and assist with appeals and corrections as needed
• Verify patient insurance coverage, eligibility, authorizations, and billing requirements
• Communicate with insurance companies regarding claim status, payment discrepancies, and authorization issues
• Work closely with clinicians, intake staff, physicians’ offices, and hospitals to obtain required documentation and orders
• Post payments, adjustments, and denials accurately into the billing system
• Maintain accurate patient billing records and documentation
• Assist patients and families with billing questions and insurance-related concerns in a professional and compassionate manner
• Monitor accounts receivable and assist with collection efforts when appropriate
• Maintain confidentiality and compliance with HIPAA regulations
• Support the administrative team with additional office and billing duties as assigned

• Previous medical billing experience required; home health billing experience strongly preferred
• Knowledge of Medicare, Medicaid, EVV, PDGM, and managed care billing processes preferred
• Experience with EMR or billing software systems preferred
• Strong attention to detail and organizational skills
• Excellent communication and customer service abilities
• Ability to prioritize tasks and manage multiple deadlines
• Comfortable working independently and as part of a team
• Proficiency in Microsoft Office and general computer skills
• Understanding of HIPAA and patient confidentiality standards

Demonstrates expertise in medical billing processes, including Medicare, Medicaid, and managed care, while ensuring compliance with HIPAA regulations. Proficient in managing claims, patient billing records, and providing exceptional customer service.

• Medical Billing Experience
• Knowledge of Medicare and Medicaid
• Experience with EMR or Billing Software
• Attention to Detail
• Excellent Communication Skills

• Medical Claims Processing
• Claims Review for Accuracy
• Patient Insurance Verification
• Payment Posting
• Accounts Receivable Monitoring

• Organizational Skills
• Customer Service Abilities
• Ability to Prioritize Tasks
• Team Collaboration
• Compassionate Communication

• HIPAA Compliance
• EVV
• PDGM
• Managed Care Billing
• Home Health Billing

• EMR Systems
• Billing Software
• Microsoft Office