Medical Biller

Desert Orthopaedic Center is a leading provider in the healthcare industry, specializing in orthopaedic care since 1970. Our mission is to deliver state-of-the-art, cost-effective treatment for musculoskeletal issues while ensuring excellence in patient care through a team of highly trained professionals.

We are looking for a dedicated and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will possess a strong understanding of medical billing processes and coding, with a focus on accuracy and adherence to compliance standards. As a Medical Biller, you will play a crucial role in ensuring that our medical services are billed correctly and efficiently, contributing to the overall financial health of our organization.

Duties

• Process and submit medical claims to insurance companies using appropriate coding systems, including CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) codes, specifically ICD-9 and ICD-10.
• Review patient records and documentation to ensure accuracy in billing and coding practices while adhering to regulatory guidelines.
• Manage accounts receivable by following up on unpaid claims, resolving discrepancies, and ensuring timely collections.
• Utilize Electronic Medical Records (EMR) and Electronic Health Records (EHR) systems to maintain accurate patient billing information and documentation.
• Collaborate with healthcare providers to clarify any discrepancies in patient records or billing information.
• Stay updated on changes in medical billing regulations, coding updates, and insurance policies to ensure compliance.
• Provide support in the preparation of financial reports related to billing activities and collections.
• Foster a professional environment that emphasizes teamwork, communication, and continuous improvement in billing processes.

Skills

• Proficient knowledge of DRG (Diagnosis-Related Group) systems, CPT coding, ICD-9, ICD-10, medical terminology, and medical coding practices.
• Experience in medical billing and collections within a healthcare setting is essential.
• Familiarity with EMR, EHR, and/or EMA systems to efficiently manage patient records and billing processes.
• Strong attention to detail with excellent organizational skills to manage multiple tasks effectively.
• Ability to communicate clearly with healthcare professionals, patients, and insurance representatives regarding billing inquiries.
• A background in medical office operations is preferred, demonstrating an understanding of the healthcare environment.
• Problem-solving skills with the ability to analyze complex billing issues and resolve them promptly. Join our team as we strive for excellence in healthcare administration through precise medical billing practices!

This job requires to be able to sit and work from a computer for 6-8 hours.