Medical Biller

We are seeking a highly motivated and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have a solid understanding of medical billing processes, coding, and insurance claim submission. Experience with EPIC software is a bonus, but not required. If you have experience in billing, coding, and insurance claims management, and are eager to learn EPIC, this is an excellent opportunity to expand your skills.

Key Responsibilities:

• Billing and Claims Management:

Process and submit accurate and timely medical claims to insurance companies.
Ensure all claims are coded correctly in accordance with ICD-10, CPT, and HCPCS codes.
Work with insurance companies to resolve claim denials, adjustments, and payment issues.

• Insurance Verification:

Verify patient insurance coverage and eligibility using various systems.
Collaborate with healthcare providers and patients to obtain required authorizations for procedures and services.

• Account Reconciliation:

Perform detailed account reconciliations and follow up on outstanding balances.
Investigate and resolve discrepancies in billing records, patient statements, and insurance remittances.

• Patient Communication:

Communicate with patients to clarify charges and payment responsibilities.
Provide financial counseling to patients, explaining their billing and insurance coverage.

• Reporting and Documentation:

Prepare and maintain accurate billing records and reports.
Ensure compliance with all federal, state, and insurance regulations and standards.

• EPIC System Utilization (Bonus):

If you have experience with EPIC, you will be expected to use the system for managing patient billing history, submitting claims, tracking status, and generating reports.
Stay current with EPIC system updates and new features to maximize billing efficiency and accuracy.

Qualifications:

• Education:

High school diploma or equivalent required.
Certified Professional Coder (CPC), Certified Billing and Coding Specialist (CBCS), or other relevant certification preferred.

• Experience:

Experience with EPIC software is a bonus, but not required.

• Skills and Knowledge:

In-depth knowledge of medical billing, coding, and insurance processes.
Ability to interpret insurance policies and medical documentation for billing purposes.
Strong attention to detail and problem-solving skills.
Excellent written and verbal communication skills.

• Technical Skills:

Familiarity with EPIC software is a bonus, but not mandatory.
Proficient in Microsoft Office Suite (Word, Excel, etc.).
Experience with electronic health records (EHR) and other medical billing software is a plus.

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off

Work Location: In person