Medical Biller

Medical Biller (Meals) – State Meal Benefit Biller is responsible for the accurate and timely billing of claims for medically authorized meal services to Managed Care Organizations (MCOs), Medicaid programs, state agencies, and other third-party payers. This position ensures claims are submitted accurately, payments are reconciled, denials are resolved, and all billing activities comply with federal, state, payer, and organizational requirements.

The Medical Biller works collaboratively with intake, operations, care coordinators, and finance staff to maximize reimbursement while maintaining the highest standards of compliance and customer service.

Relevant experience includes billing state Medicaid programs as well as Managed Care Organizations (MCOs).  

Responsibilities

• Submit accurate and timely insurance claims
• Verify patient insurance information and eligibility
• Post payments and reconcile accounts
• Follow up on outstanding claims and resolve denials
• Ensure compliance with healthcare billing regulations
• Maintain accurate data entry of billing information
• Generate billing and payment reports for management

Preferred Qualifications

• 1+ years of experience in medical billing
• High school diploma or equivalent
• Strong knowledge of claims processing and data entry
• Attention to detail and accuracy in work
• Understanding of HIPAA regulations
• Effective communication skills