Medical Biller/Collector

Job Description

We are seeking a detail-oriented and motivated Medical Biller/Collector to support a fast-paced healthcare organization. This role is responsible for managing billing operations, following up on accounts, and communicating with insurance providers and patients to ensure timely and accurate reimbursement.

Responsibilities/ Job Duties:

• Process and review medical claims for accuracy and completeness prior to submission
• Perform high-volume account follow-up (100 daily touches including calls, claim reviews, and updates)
• Handle both inbound and outbound calls with insurance companies and patients
• Work with a variety of payers including commercial, HMO, and government plans
• Review and interpret EOBs (Explanation of Benefits) and communicate findings to patients when needed
• Resolve billing discrepancies, denials, and unpaid claims in a timely manner
• Enter and maintain accurate patient and billing information in the EMR system
• Utilize appropriate billing and coding practices (ICD, CPT, and UBO forms as applicable)
• Ensure compliance with HIPAA and organizational billing guidelines
• Collaborate with internal teams to resolve account issues and improve workflow efficiency

Minimum Education and Experience Qualification Requirements:

• Process and review medical claims for accuracy and completeness prior to submission
• Perform high-volume account follow-up (100 daily touches including calls, claim reviews, and updates)
• Handle both inbound and outbound calls with insurance companies and patients
• Work with a variety of payers including commercial, HMO, and government plans
• Review and interpret EOBs (Explanation of Benefits) and communicate findings to patients when needed
• Resolve billing discrepancies, denials, and unpaid claims in a timely manner
• Enter and maintain accurate patient and billing information in the EMR system
• Utilize appropriate billing and coding practices (ICD, CPT, and UBO forms as applicable)
• Ensure compliance with HIPAA and organizational billing guidelines
• Collaborate with internal teams to resolve account issues and improve workflow efficiency

Schedule/ Shift:Monday - Friday, 8 AM - 5 PM

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.