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GENERAL SUMMARY OF DUTIES: Oversees processing of professional and facility charges in accordance with current ICD and CPT guidelines. EXAMPLES OF DUTIES: (This list may not include all of the duties assigned.) Gathers, reviews and corrects professional and facility charges which includes checking for patient demographic information accuracy and total charges through review of patient charts. Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms & diagnostic descriptions and procedures to accurately assign and sequence the correct ICD & CPT codes. Works with physicians to resolve coding issues. Works with hospital staff to coordinate inpatient consultations....

Job Summary We are seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The Medical Biller is responsible for preparing and submitting patient claims to insurance companies, following up on unpaid accounts, and ensuring accurate billing to maximize reimbursement and support the revenue cycle. Key Responsibilities Prepare, review, and submit medical claims to private and government payers (Medicare, Medicaid, commercial insurers). Verify patient insurance eligibility and benefits prior to claim submission. Follow up on denied or unpaid claims and initiate appeals or corrections as needed. Post payments from insurers and patients accurately into the billing system. Resolve billing discrepancies and respond to inquiries from insurance providers and patients. Collaborate with clinical and administrative staff to clarify documentation and coding issues. Ensure compliance with HIPAA regulations and maintain confidentiality of...

Patient verification: Checking patient insurance eligibility and verifying coverage details to ensure accurate billing. Claim scrubbing: Reviewing medical records and claims for accuracy before submission to identify potential errors and prevent claim denials. Claim follow-up: Monitoring claim status, contacting insurance companies to follow up on outstanding claims, and appealing denied claims. Patient billing: Generating patient invoices for outstanding balances after insurance payments and communicating with patients regarding payment options. Payment posting: Recording received payments from insurance companies and patients into the billing system. Account receivable management: Tracking outstanding patient balances and managing collections efforts to ensure timely payment. Claim submission: Creating and submitting accurate medical claims to insurance companies electronically or via mail, including patient...

This is an onsite role** Perform posting charges Perform completion of claims to payers Conduct duties in a professional and timely fashion Submit billing data to the appropriate insurance providers Process claims Resolve denial instances Achieve maximum reimbursement for services provided Deploy, maintain and report on various programs Do Medicare reviews Do Medi-Cal reviews Conduct audits

This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meeting s. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch. JOB DESCRIPTION: Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines Enter coded data into EHR or practice management systems for billing accuracy and maintain organized,...