Description
Specific Role:
Medical Biller
Reports To:
Revenue Cycle Manager
Department:
Finance
Location:
Main Admin 85048
BLS Occ:
Medical Records Specialist
(SOC 29-2072)
Salary Range:
$20-$30/HR, DOE
Schedule:
FT M-F 8-5
Travel:
None
The Medical Biller is responsible for ensuring accurate, timely, and compliant billing for all patient encounters within a private medical practice. This role supports the revenue cycle by preparing claims, reviewing coding accuracy, resolving denials, and working closely with insurance, clinical staff, patients, and payers. The Medical Biller plays a critical role in maximizing reimbursement, reducing errors, and supporting financial stability for the practice.
Key Responsibilities
Claim Preparation & Submission
Generate and submit clean claims (electronic and paper) for all services provided by the practice
Review documentation, coding, modifiers, and charge capture for accuracy prior to submission
Ensure compliance with payer‑specific guidelines and private practice workflows.
Accounts Receivable (A/R) & Denial Management
Monitor insurance and patient A/R aging reports and prioritize timely follow‑up.
Investigate, correct, and resubmit denied or rejected claims
Communicate with insurance companies to resolve claim issues, eligibility concerns, or authorization discrepancies
Document all actions taken in the practice management system
Patient Billing & Collection Support
Generate patient statements and assist with questions regarding balances, payment plans, or billing inquiries
Explain EOBs, patient responsibility, and deductible/coinsurance in clear, patient‑friendly language
Support front office and clinical teams in understanding billing‑related requirements.
Answer phone calls and voicemails in a timely manner to assist patients and staff with questions related to patient billing
Coding Accuracy & Compliance
Work closely coders to ensure proper CPT, ICD‑10, and HCPCS coding
Identify documentation gaps and request clarifications as needed.
Maintain compliance with federal, state, and payer regulations, including HIPAA, CMS, and Payer
Internal Communication & Collaboration
Partner with administrative staff to ensure efficient flow of information required to bill correctly
Notify leadership of trends such as recurring denials, payer issues, coding errors, or revenue risks
Reporting
Prepare weekly/monthly billing reports as assigned (A/R aging, denial trends, productivity, etc.)
Provide feedback to the Revenue Cycle Manager on improvement opportunities
Education
High school diploma or equivalent required
Associate’s degree beneficial
Experience
2+ years of medical billing experience in a private practice or multi‑provider outpatient setting
Knowledge of CPT, ICD‑10, HCPCS, and insurance billing rules
Experience with electronic health record (EHR) and practice management systems
Strong understanding of commercial insurance, Medicare/Medicaid, and specialty payer rules
Excellent attention to detail, accuracy, and time management
Preferred
Experience in specialty practice (e.g., neurology, infusion, pain, cardiology)
CPC, CPB, or related medical billing/coding certification
Familiarity with multi‑location billing workflows
Athena EHR preferred
Qualifications/Skills
Strong analytical and problem‑solving skills.
Professional communication with patients, staff, and insurance representatives.
Ability to work independently and manage competing priorities.
High level of confidentiality and integrity.
Strong computer proficiency including EHR systems, billing platforms, and Excel.
Ability to sit for extended periods.
Occasional interaction with patients at the front desk or over the phone.
About Us
Foothills Neurology is a busy private practice with 9 clinics throughout the valley offering a full range of dedicated providers ready to provide comprehensive and compassionate care.
As we work together to put the needs of the patient first, we are also dedicated to our employees, providing benefit plans to take care of you and your family, now and in the future. You can thrive in an environment that is fun and provides the resources you need to succeed.
Benefits
401(k) matching
Dental insurance
Health insurance
Vision insurance
Paid time off
Paid Holidays
Provided lunches
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