Medical Biller / Financial Coordinator

This position is responsible for accurate medical coding, timely insurance claim submission, managing patient accounts, and efficient revenue cycle management. The role works closely with providers, patients, and insurance companies to maintain compliance, maximize reimbursement, and provide excellent patient financial communication. The ideal candidate demonstrates strong analytical and communication skills, attention to detail, and a solid understanding of insurance processes to support financial integrity and patient satisfaction.

Key Responsibilities

• Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes
• Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines
• Identify and resolve coding discrepancies in collaboration with clinical staff
• Stay current with coding updates, policy changes, and industry standards
• Prepare, submit, and track insurance claims in a timely manner
• Monitor claim status, follow up on unpaid or denied claims, and initiate appeals when necessary
• Verify patient insurance eligibility and benefits prior to billing
• Post payments, adjustments, and reconcile accounts accurately
• Analyze denials and underpayments to identify trends and improve reimbursement
• Maintain accurate billing records and financial documentation
• Manage patient accounts and balances
• Work closely with front desk and clinical teams to ensure complete and accurate charge capture
• Assist with audits and compliance reviews as required
• Communicate effectively with insurance carriers, patients, and providers
• Explain financial policies and coordinate payment arrangements
• Respond to billing inquiries professionally and clearly
• Educate patients on insurance coverage, billing statements, and payment responsibilities