Master biller description: 

We are seeking a qualified and dedicated medical biller to join our administrative office. This is an in-office position. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining and submitting billing, appealing denied claims, and posting payments. 

To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. 

Responsibilities: 

• Preparing and submitting billing data and medical claims to insurance companies. 

• Ensuring the patient’s medical information is accurate and up to date. 
• Preparing bills and invoices, and documenting amounts due for medical procedures and services. 
• Collecting and reviewing referrals and pre-authorizations. 
• Monitoring and recording payments. 
• Following up on missed payments and resolving financial discrepancies. 

• Examining patient bills for accuracy and requesting any missing information. 
• Investigating and appealing denied claims. 
• Helping patients develop patient payment plans. 
• Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports. 
• Coordinates and directs the activities of the billing operations following overall departmental protocol; and that State, Federal, and payer requirements, guidelines, and regulations are complied with. 

• Designs, executes, and ensures policies and procedures are adhered to, as well as fine tune effective billing processes for improvement. 
• Carry out analysis of trends affecting coding, charges, accounts receivable, and collection. 
• Remain updated on HIPAA and all other health information management issues and regulations. 
• Give report of all concerns and issues to management for prompt necessary action. 
• Extracts meaningful data and create reports to as need for customer and management team. 

• Other duties assigned by management to support billing and RCM departments. 

Requirements: 

• Bachelor’s degree in business, health care administration, accounting, or a relevant field and/or Medical billing and coding certification.
• A minimum of 2 years of experience as a medical biller or similar role. 
• Solid understanding of billing software and electronic medical records. 

• Must have the ability to multitask and manage time effectively. 
• Excellent written and verbal communication skills. 
• Outstanding problem-solving and organizational abilities. 
• Ability to commute to Irvine, CA (92614) 
• Deep knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third-party payers. 

• Thorough knowledge and working experience of CPT and ICD9 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits. 

Job Description: 

• 8-hour shifts 
• In person position at our office in Irvine, CA (92614) 
• Monday – Friday