Medical Biller

We are seeking a detail-oriented and experienced Medical Billing Specialist to join a growing multi-site healthcare practice. This role manages medical billing, claims processing, payment posting, insurance follow-up, and denial management across multiple clinical locations.

The position requires strong knowledge of medical billing procedures, payer guidelines, and revenue cycle operations in a fast-paced healthcare environment.

Key Responsibilities

• Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, and other payers.
• Manage billing operations for multiple practice locations while maintaining consistency and compliance.
• Verify patient insurance eligibility, benefits, authorizations, and demographic information.
• Follow up on unpaid claims, denied claims, and underpayments.
• Investigate and resolve billing discrepancies, claim edits, and payment issues.
• Post insurance and patient payments accurately into the practice management system.
• Process patient statements and respond to billing inquiries.
• Maintain compliance with HIPAA, payer regulations, and company policies.
• Collaborate with front desk staff, providers, coders, and management to improve billing accuracy and reimbursement.
• Monitor aging reports and assist in reducing accounts receivable balances.
• Identify denial and reimbursement trends and recommend process improvements.
• Maintain accurate documentation of billing activities and payer communications.