Job Description Specific Role: Medical Biller Reports To: Revenue Cycle Manager Department: Finance Location: Main Admin85048 BLS Occ: Medical Records Specialist (SOC 29-2072) Salary Range: $22.00-$28.00 Schedule: FT M-F 8-5 Travel: None Key Responsibilities Claim Preparation & Submission Generate andsubmitclean 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 prioritizetimelyfollow-up. Investigate, correct, and resubmit denied or rejected claims Comfortable with communicatingwith insurance companies to resolve claim issues, eligibility concerns, or authorization discrepanciesover phone or email. Document all actions taken in the practice management system Patient Billing & Collection Support Generate patient statements andassistwith questionsregardingbalances, 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 voicemailsin a timely mannertoassistpatients and staff with questions related to patient billing Coding Accuracy & Compliance Work closelywithcoders to ensure proper CPT, ICD-10, and HCPCS coding Identifydocumentation gaps and request clarifications as needed. Maintain compliance with federal, state, and payer regulations, including HIPAA, CMS, and Payers Internal Communication & Collaboration Partner with administrative staff to ensure efficient flow of informationrequiredto bill correctlyandtimely Notifyleadershipoftrends 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 Must be able to sit continuously for 8 hours Performs otherduties asassigned by supervisor or management to support operational and organizational needs. Education: High school diploma or equivalentrequired 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 inspecialtypractice (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 levelof confidentiality and integrity. #J-18808-Ljbffr