Medical Biller - Healthcare Industry
The Medical Biller is responsible for the accurate and timely submission of professional and technical medical claims. This role plays a key part in ensuring proper reimbursement by researching unpaid or underpaid claims and working closely with insurance carriers, patients, and internal teams. The ideal candidate is detail-oriented, organized, and experienced in healthcare billing operations.
Key Responsibilities
- Prepare, review, and submit clean medical claims to commercial insurers, Medicare, Medicaid, and other third-party payers via electronic and paper formats
- Research, track, and follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement
- Communicate directly with insurance carriers to resolve claim rejections, denials, coding issues, and payment discrepancies
- Review patient accounts for accuracy and completeness; obtain missing or corrected demographic, insurance, or clinical information as needed
- Correct, resubmit, and appeal claims in compliance with payer guidelines and billing regulations
- Respond to inquiries from patients, insurance companies, and internal staff regarding billing status, coverage, and payment issues
- Address patient billing concerns in a professional and customer-focused manner
- Generate and distribute patient statements; explain balances, insurance payments, and patient responsibility
- Assess patient financial situations and assist with payment plan arrangements when appropriate
- Monitor delinquent accounts, document follow-up activity, and escalate accounts for collections as needed
- Prepare documentation and recommendations for accounts assigned to collection agencies
- Post and reconcile insurance and patient payments; prepare daily deposit records
- Maintain accurate billing records and ensure compliance with HIPAA and confidentiality standards
- Perform routine system maintenance tasks, including daily data backups
- Participate in ongoing training, educational activities, and monthly staff meetings
- Complete all duties in accordance with company policies and procedures
- Perform additional related duties as assigned
Required Qualifications
- 1-3+ years of medical billing experience
- Strong understanding of healthcare billing processes and regulations
- Proficiency in medical billing and insurance systems
- Experience working with healthcare software, including eClinicalWorks
- Excellent organizational, analytical, and communication skills
Preferred Qualifications
- High School Diploma or equivalent
Work Environment & Schedule
This position operates Monday through Friday from 8:00 AM to 4:30 PM, with a 30-minute lunch break. The role is based in a modern, professional office environment with a collaborative, outgoing, and supportive team culture.
Job Type & Location
This is a Contract to Hire position based out of Circleville, NY.
Pay and Benefits
The pay range for this position is $19.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Circleville, NY.
Application Deadline
This position is anticipated to close on Jun 9, 2026.