Busy Rheumatology and Chiropractic group seeks a Full-time medical biller that works to ensure accuracy of billing submissions for outpatient medical and infusion services. Applicants should be very detail-oriented and organized, possess excellent communication skills, and once trained, be able to complete tasks independently. This position reports to the Billing Manager.

• Accurately enter patient demographics and patient insurance charges into practice management/billing system (eClinicalWorks).
• Performs systematic, consistent, and timely follow-up for both insurance and patient balances.
• Answer and resolve billing inquiries.
• Collect and post patient balances.
• Obtain insurance eligibility for procedures, including prior authorizations, copay assistance, and coordination of benefits.
• Takes all appropriate action(s) to process outstanding account(s) to a final resolution.
• Charge review, claims and submissions, reconciliations, payment posting, and working appeals of denials.
• Collection of receivables by monitoring accounts receivables resubmitting and appealing claims for outstanding and overdue accounts.
• Ability to resolve payer rejections and denials through the appeals process as required by each payers contracting agreements.
• Oversight of the Credit Card on File process.
• Assist in the preparation of daily/monthly billing and accounts receivable reports.
• Perform other specific projects relating to billing, data entry, collections and computer operations as required.

• Minimum of 1 year of experience of medical billing and revenue cycle management.
• Maintains up-to-date knowledge of healthcare insurance industry including Medicare, Medicaid, Managed Care, and other governmental and commercial payors.
• Experience with EMR (eClinicalWorks is preferred).
• Ability to multi-task, work well under pressure and meet deadlines effectively.
• Excellent communication, interpersonal, organizational, and analytical skills.
• Must be a team player and yet be able to work independently.
• Must be computer literate in the Microsoft Office Suite.
• Bilingual in Spanish is a Plus.