Medical Biller IRewarding career. Competitive salary. Outstanding benefits.Medical Biller I is responsible for supporting the billing and accounts receivable functions within Patient Financial Services. This position assists with basic billing tasks, claim processing, and follow-up activities under the guidance of senior staff. The Medical Biller I works with patients, insurance payers, and internal departments to ensure accurate account handling and a positive patient financial experience. This role is designed to build foundational knowledge of hospital billing processes within a Critical Access Hospital (CAH) environment.Standard ExpectationsPromotes a Positive Working Environment Conducts oneself in line with organization's mission, values and standards of behavior.Accepts change and challenges with a positive attitude.Consistently adheres to organizational policy.Communicates Effectively Builds relationships and works collaboratively with other staff.Provides timely operational updates to supervisor.Responds to communications in a timely manner.Performs Duties Efficiently and Effectively Follows procedures.Acts in compliance with applicable federal, state, and local regulations.Performs other duties as assigned.Area Of ResponsibilityDuties & ResponsibilitiesPatient Interaction and Customer ServiceServe as a point of contact for patient billing inquiries, providing courteous and clear communicationEducate patients on their financial responsibility, insurance coverage, and payment optionsDirect complex patient concerns to appropriate senior staffSupport patients with payment options and assist them with financial assistance resources as neededDirect complex patient concerns to appropriate senior staff with professionalism and empathyBilling & Claims SubmissionAssist with preparing and submitting claims (UB-04 and/or professional) under supervisionReview accounts for completeness and accuracy prior to claim submissionIdentify and report claim edits, holds, or errors to senior billers for resolutionSupport timely processing of primary and secondary claimsAccounts Receivable & Payer Follow-UpPerform routine follow-up on outstanding claims as assignedReview claim status using payer portals or internal systemsAssist in identifying unpaid or denied claims and perform follow workflowsDocument account activity accurately and consistentlyContact payers for additional information via phone call or portal communication.Research and resolve denials related to coordination of benefits, eligibility, patient questionnaires, and other common denialsEscalate complex reimbursement issues to Medical Biller Lead or Sr. Manager of Billing and ReimbursementDenials Management & Revenue ProtectionResearch and resolve basic denial categories such as eligibility, authorization, and billing errorsIdentify and Route complex denials to appropriate team members based on issue typeResearch and resolve hospital billing denials using Epic and internal workflowsMaintain clear and compliant account documentation within Epic.Epic HB System ResponsibilitiesUtilize Epic work queues and tools to complete assigned tasks.Maintain accurate account notes, claim statuses, and follow-up actions in Epic.Report system issues or workflow concerns to supervisorFollow established workflows for account handlingCompliance, Audit & Reimbursement SupportFollow all applicable billing regulations and payer requirementsMaintain patient confidentiality in accordance with HIPAAAdhere to hospital policies and compliance standardsParticipate in training and skill development activitiesTeam Support & Cross-CoverageProvide support to team members as neededParticipate in department meetings and training sessionsDemonstrate a willingness to learn billing processes and systemsCross-train in basic functions within Patient Financial Services as assignedQualificationsRequiredHigh school diploma or GEDBasic computer skills and familiarity with Microsoft OfficeStrong attention to detail and willingness to learnGood communication and customer service skillsPreferredPrior healthcare or billing experienceBasic knowledge of medical terminologyExposure to electronic medical record systems such as EpicCoursework in medical billing or healthcare administrationWork Environment And Physical DemandsThis position is primarily worked in an office environment. Primarily stationary with occasional standing, walking, lifting, reaching carrying, kneeling, bending, stooping, pushing and pulling of objects weighing up to 20lbs. The position requires continuous finger dexterity and fine manipulation.The employee must demonstrate the ability to perform the essential functions of the position, with or without reasonable accommodation.If you are looking for a rewarding career with a great team, you'll enjoy your career with us!Position DetailsHours per week: 40Employee Status: Regular Full TimeShift: Day Shift (United States of America)Pay Range: $21.00 - $36.75Actual pay offered will vary based on years of experience.Employee BenefitsOur benefit package includes medical, dental, vision, life insurance, and retirement options (403(b) & 457). Medical insurance coverage begins on day one and is available to both full time and part time employees. Additionally, employees receive discounts on medical services provided by Whitman Hospital and Medical Clinics. Differentials apply for evening, night, and weekend shifts. Our unique PTO plan enables employees to increase their accrual with each year of service!