What are the responsibilities and job description for the Medical Biller position at Priority Medical Billing?
Company Description Priority Medical Billing is a leading provider of medical billing services focused on helping healthcare organizations optimize their revenue cycle management. The company combines specialized industry expertise with advanced technology to deliver accurate, efficient, and compliant billing solutions. Priority Medical Billing partners closely with providers to reduce claim denials, accelerate reimbursements, and improve overall financial performance. Team members work in a professional, detail-oriented environment that values collaboration, accountability, and ongoing learning.
Role Description This is a part-time, hybrid Medical Biller role based in Chanhassen, MN. The Medical Biller will accurately prepare, submit, and follow up on medical claims to insurance companies, Medicare, and other payers. Daily responsibilities include reviewing patient documentation, verifying insurance coverage, and ensuring claims meet payer-specific requirements. The role involves managing denials and rejections, performing timely claim corrections, appeals, and resubmissions, and communicating with payers and internal staff to resolve billing issues.
Qualifications
- Strong knowledge of medical terminology to accurately interpret documentation and support correct claim submission.
- Proficiency with ICD-10 coding and related coding guidelines to ensure accurate and compliant billing.
- Experience working with commercial insurance plans, including understanding payer rules and coverage requirements.
- Familiarity with Medicare billing regulations and processes, including claims submission and appeals.
- Ability to identify, analyze, and resolve denials, including conducting follow-up and submitting appeals when needed.
- Previous experience in medical billing or revenue cycle management, preferably in a healthcare or billing services environment.
- Strong attention to detail, organizational skills, and ability to manage multiple accounts and deadlines.
- Competence with billing software, electronic health records (EHR), and basic office productivity tools.
- Effective written and verbal communication skills and a professional approach to working with internal teams and external payers.
- High school diploma or equivalent required; relevant post-secondary coursework or certification in medical billing or coding is a plus.