Biller

Accountabilities:

• • Resolve disputed medical claims by gathering, verifying, and providing additional information and following up with relevant parties.
  • Investigate billing discrepancies by reviewing and evaluating available data and determining appropriate corrective actions.
  • Work with medical staff, external agencies, payers, and other stakeholders to identify and resolve claim-related issues.
  • Apply established billing, coding, collection, and operational policies and procedures to daily activities.
  • Maintain accurate and high-quality billing results by following established standards and identifying potential compliance concerns.
  • Report operational or compliance issues through the appropriate channels.
  • Apply knowledge of Medicare, Medicaid, third-party payer requirements, reimbursement procedures, and applicable regulations when reviewing claims.
  • Maintain current knowledge of medical billing and reimbursement practices through continuing education, professional publications, and industry updates.
  • Gather, organize, and report claim information accurately and efficiently.
  • Analyze utilization and billing issues and identify practical solutions.
  • Maintain professional and courteous communication with internal and external customers.
  • Perform additional billing, administrative, or related duties as assigned.
  • Manage a high volume of telephone and billing-related activity while maintaining accuracy and service quality.

  Requirements:

  • High school diploma or equivalent required.
  • At least 2 years of experience with medical office billing procedures.
  • Billing certification is preferred.
  • Working knowledge of clinic policies and procedures and healthcare billing workflows.
  • Familiarity with third-party payers, Medicare, Medicaid, billing and collections processes.
  • Knowledge of HCPCS, CPT, and ICD coding concepts.
  • Understanding of medical terminology and the ability to analyze healthcare-related information.
  • Knowledge of collection practices and applicable governmental, legal, and regulatory requirements.
  • Comfortable working with computer systems, Windows-based applications, data-entry tools, spreadsheets, and other standard office software.
  • Strong ability to gather, analyze, and communicate claim information.
  • Demonstrated problem-solving skills, particularly when investigating discrepancies, utilization issues, and disputed claims.
  • Strong written and verbal communication skills with a professional customer-service approach.
  • Ability to work effectively with medical professionals, external agencies, internal teams, and other stakeholders.
  • Strong attention to detail, organization, and accuracy.
  • Ability to work independently, follow established procedures, and manage priorities in a busy environment.
  • Professional, courteous, and reliable approach when interacting with internal and external customers.

  Benefits:

  • Fully remote work opportunity.
  • Comprehensive health insurance.
  • Dental insurance.
  • Vision insurance.
  • Health Savings Account (HSA) with an employer contribution.
  • Life insurance.
  • Paid time off (PTO).
  • 401(k) retirement plan with employer matching.
  • Additional benefits and programs may be available.
  • Opportunity to develop and maintain expertise in healthcare billing, claims, reimbursement, and collections.