The Medical Biller supports a patient-centered medical home environment by handling insurance claims processing, collections, denials, patient accounts, and payment recording for the clinic. This role works closely with the front desk and accounting team to ensure accurate billing, proper reimbursement, and timely resolution of financial discrepancies.
Key responsibilities include:
- Submitting claims and posting charges accurately and on time
- Working claim denials to maximize reimbursement
- Responding to patient and insurance company questions or complaints
- Updating patient accounts and requesting missing information as needed
- Monitoring payment collection at the front desk and maintaining accurate EMR records
- Preparing monthly patient statements and tracking late payments
- Coordinating accounts receivable collection efforts
- Arranging payment plans and timelines
- Ensuring correct codes are included in Medicaid, Medicare, and commercial claims
- Performing Medicaid and Medicare audits as needed
- Reviewing EOBs with accounting to identify trends
- Maintaining confidentiality, compliance, and professional conduct
- Supporting quality improvement activities and clinic team efforts
Requirements & Qualifications
Qualifications
- Fluency in English and Spanish is required
- Billing and Coding Certificate is required
- At least 1 year of experience in medical billing is preferred
- Experience in a similar healthcare environment is preferred
Key competencies
- Knowledge of CPT, HCPCS, and ICD-10-CM coding
- Knowledge of medical billing, especially for Federally Qualified Health Centers (FQHCs)
- Experience using EMR systems and standard office technology
- Strong interpersonal, written, and verbal communication skills
- Ability to work independently and collaboratively
- Ability to manage high volumes of information and prioritize tasks effectively
- Comfort working in a fast-paced, high-demand environment
- Ability to interact respectfully with people from diverse backgrounds
- Commitment to patient confidentiality and community health care
- Faith alignment with the organization’s values
Location
North Las Vegas, Nevada, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago
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