Job Description

Benefits

• 401(k)
• 401(k) matching
• Competitive salary
• Health insurance

Key Responsibilities

• Prepare, review, and submit medical claims (electronic and paper) to insurance companies and third-party payers.
• Verify insurance coverage, eligibility, and patient demographics prior to claim submission.
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim denials.
• Identify, research, and resolve claim rejections or denials promptly.
• Conduct timely and professional follow-up with insurance companies and patients on unpaid or underpaid claims.
• Post payments, adjustments, and reconcile accounts accurately in the practice management system.
• Communicate with providers and clinical staff regarding missing or incomplete documentation impacting billing.
• Maintain knowledge of current CPT, ICD-10, and HCPCS codes, as well as payer policies and reimbursement guidelines.
• Generate aging reports and assist in collections efforts as needed.
• Ensure confidentiality and compliance with HIPAA regulations in all billing activities.

Qualifications

• High school diploma or equivalent required; Associates degree or certification in medical billing/coding preferred.
• 13 years of experience in medical billing, collections, or revenue cycle management.
• Strong understanding of medical terminology, coding systems, and insurance claim processes.
• Excellent attention to detail, problem-solving, and organizational skills.
• Effective communication and customer service skills.
• Proficiency with electronic health records (EHR) and billing software.

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