We are seeking a full-time Medical Biller/Coder to join our team in Phoenix or Peoria. The ideal candidate is detail-oriented, dependable, and thrives in a fast-paced environment. Experience with vascular and wound care billing is preferred.
Position Overview
Responsible for overseeing the complete medical billing process, including accurate claim preparation, submission, and follow-up to ensure timely reimbursement. This role requires strong attention to detail, proficiency in resolving claim discrepancies, and expertise in managing multiple payer requirements.
Key Responsibilities
- Scrub and submit claims using billing software.
- Follow up on unpaid claims within standard billing cycles.
- Review EOBs for accuracy and compliance.
- Communicate with insurers to resolve claim or payment discrepancies.
- Identify and bill secondary and tertiary insurance.
- Audit patient bills for accuracy and completeness.
- Research and appeal denied claims.
- Update billing software, maintain cash spreadsheets, and run collection reports.
- Ensure compliance with HIPAA and other regulatory requirements for patient data and billing practices.
- Post payments and reconcile accounts to maintain accurate financial records.
- Communicate with patients regarding billing inquiries, insurance coverage, payment options and account balances.
Qualifications
- Minimum 3 years of recent medical billing experience required.
- Proficient in Microsoft Office Suite and Outlook.
- Strong understanding of the full revenue cycle (claims, denials, reimbursement, A/R).
- Excellent communication and customer service skills.
- Ability to multitask and meet deadlines in a fast-paced environment.
- Knowledge of ICD-10, CPT, and HCPCS coding standards.
- Experience with payer portals and electronic claim submission systems.
- Knowledge of wound care and vascular billing preferred.
- Experience with outpatient ASC claims preferred.
- Experience with NextGen EHR is a plus.
- Familiarity with compliance standards (Medicare, Medicaid, commercial insurance).