Position Title: Internal Medical Biller (No Remote / No Hybrid)
Position Summary
The Internal Medical Biller performs in-office billing tasks to support surgical assistant medical billing operations. This
role focuses on claim preparation, submission, follow-up, documentation, and payment posting. The employee does
not handle escalations, disputes, Open Negotiation, or IDR processes. Candidates must be detail-oriented and able to
follow structured Standard Operating Procedures (SOPs).
Essential Job Duties
1. Claim Intake & Preparation
• Review assigned cases for complete documentation.
• Verify demographics, insurance, operative reports, CPT/ICD-10 codes, and modifiers.
• Identify missing information and communicate with internal staff.
2. Claim Submission
• Build accurate claims following internal SOPs.
• Submit claims through the clearinghouse within required timeframes.
• Correct clearinghouse rejections within 24 hours.
3. Status Checks & Documentation
• Perform payer claim status checks throughout the week on outstanding claims.
• Record payer notes, reference numbers, and follow-up details accurately.
• Upload EOBs and required documentation promptly.
4. Payment Posting
• Post payments, denials, and adjustments accurately.
• Reconcile payments and identify discrepancies.
• Notify internal leads of missing or inconsistent payments.
5. Claim Corrections (No Appeals)
• Prepare and submit corrected claims as directed.
• Collect and attach required documents for corrected claims.
• Maintain internal logs for all corrected claims submitted.
Restrictions (Important)
The candidate will not perform escalated appeals, negotiation calls, underpayment disputes, Open Negotiation
submissions, IDR filings, or payer-level dispute resolution. These responsibilities are handled exclusively by Surgery
Matters leadership.
Work Environment
This is a 100% in-office position in a professional, fast-paced billing department requiring reliable attendance,
organization, and strict confidentiality.