Medical Biller
Seeking an experienced Medical Biller to support the full revenue cycle by ensuring accurate claim submission, timely reimbursement, and effective follow-up with insurance carriers. The ideal candidate will have strong knowledge of medical billing processes, payer guidelines, and denial resolution in a fast-paced outpatient healthcare environment.
Key Responsibilities
- Submit electronic and paper claims accurately and in a timely manner.
- Review claims for completeness and billing accuracy prior to submission.
- Follow up with commercial insurance, Medicare, Medi-Cal, Workers' Compensation, and PPO/HMO payers on unpaid or denied claims.
- Research, appeal, and resolve claim denials and payment discrepancies.
- Post insurance and patient payments, adjustments, and contractual write-offs.
- Verify patient insurance eligibility and benefits as needed.
- Reconcile accounts and maintain accurate patient billing records.
- Work aging reports to reduce outstanding accounts receivable.
- Communicate with patients regarding balances, payment plans, and billing questions.
- Collaborate with providers, front office staff, and coding teams to resolve billing issues.
- Maintain compliance with HIPAA, CPT, ICD-10, HCPCS, and payer regulations.
Qualifications:
Experience with claim submission, payment posting, insurance follow-up, collections, and denial management.
Strong knowledge of CPT, ICD-10, HCPCS, and medical terminology.
Experience billing Medicare, Medi-Cal, HMO, PPO, and commercial insurance plans.
Proficiency with EMR/EHR and practice management software (eClinicalWorks, Kareo/Tebra, NextGen, AdvancedMD, or similar preferred).
Compensation
$27.00-$30.00 HourlyAbout Us
TalentMatch®
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