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The Medical Biller will be responsible for managing patient billing processes, ensuring claims are submitted accurately and efficiently, and following up on payment resolutions. This role is vital to the financial health of the organization and requires a high level of attention to detail, organization, and knowledge of medical billing procedures.
Job Responsibility:
Process, review, and submit claims to insurance carriers efficiently and accurately
verify patient insurance coverage and eligibility
resolve claim errors or discrepancies, including follow-ups with insurance providers and patients
generate billing statements for patient accounts and ensure proper posting of payments
communicate with insurance companies, patients, and other third-party payers regarding claims and payments
monitor and follow up on outstanding accounts receivable balances and unpaid claims
maintain knowledge of current billing codes (e.g., ICD-10, CPT, HCPCS) and updates to healthcare regulations
collaborate with other departments (e.g., medical records or patient services) to gather accurate information
ensure compliance with industry standards and regulations, including HIPAA
Requirements:
High school diploma or equivalent
associate degree in healthcare, business, or a related field is preferred
proven experience in medical billing or a related role (minimum 1–2 years preferred)
knowledge of medical billing software and electronic health record (EHR) systems (e.g., Epic, Cerner, Medisoft)
strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes
excellent attention to detail, organizational skills, and ability to multitask
strong written and verbal communication skills for interaction with patients, insurance companies, and healthcare professionals
knowledge of regulatory compliance and proficiency in handling sensitive patient information (HIPAA)