Medical Biller

• Perform payment posting for multiple FQHC and CHC organizations
• Post patient and insurance payments accurately and promptly
• Reconcile deposits, remittances, and electronic payment files
• Process daily, weekly, and monthly medical billing workflows
• Research payer requirements and stay up to date with coding and billing rules
• Assist with AR follow-up, billing inquiries, and customer service tasks
• Access payer portals, state/federal sites, and clearinghouses for billing tasks
• Support member organizations with high-quality communication and service
• Partner with internal OSIS departments to resolve issues and improve workflows
• Participate in training and maintain knowledge of billing and regulatory updates

Medical Biller posting payments and reconciling billing data for community health centers

Medical Biller posting payments and reconciling billing data for OSIS, a nonprofit NextGen technology services provider for community health centers. Supporting payer workflows and revenue-cycle operations remotely.

• Process and submit medical claims for Medicare, Medicaid, commercial insurance, and managed care plans
• Review claims for accuracy, completeness, and compliance prior to submission
• Follow up on unpaid, denied, or rejected claims and assist with appeals and corrections as needed
• Verify patient insurance coverage, eligibility, authorizations, and billing requirements
• Communicate with insurance companies regarding claim status, payment discrepancies, and authorization issues
• Work closely with clinicians, intake staff, physicians’ offices, and hospitals to obtain required documentation and orders
• Post payments, adjustments, and denials accurately into the billing system
• Maintain accurate patient billing records and documentation
• Assist patients and families with billing questions and insurance-related concerns in a professional and compassionate manner
• Monitor accounts receivable and assist with collection efforts when appropriate
• Maintain confidentiality and compliance with HIPAA regulations
• Support the administrative team with additional office and billing duties as assigned

Detail-oriented Medical Biller processing insurance claims at home health care agency

Detail-oriented Medical Biller responsible for processing and managing insurance claims at local home health care agency in Richmond, Virginia. Seeking organized and dependable candidates with strong communication skills.

• Support Services tasks that include, but are not limited to, managing the end-to-end life cycle of revenue and supporting client scheduling
• Completing insurance & eligibility verification checks
• Configuring and maintaining accurate billing within client profiles
• Submitting insurance claims
• Monitoring insurance aging of active claims & inquiring with payors as necessary
• Monitoring our EHR for processed insurance claims
• Applying client and insurance payments to clients’ accounts as necessary
• Communicating pertinent insurance updates to our therapists
• Managing claim denials by contacting insurance payors to identify the cause for claim denials
• Monitoring, reporting, and communicating client balances to our therapists (AR)
• Generating Patient Statements
• Engaging with clients via phone, text, or email on billing inquiries
• Collaborate with therapists and the Clinic Director to obtain any outstanding information to complete job-related tasks
• Assist in payroll processes that support RCM, including therapist timekeeping
• Assist in scheduling clients via pathways other than CATs
• Maintain confidentiality for client records
• Collaborate with teammates and have a teammate mentality
• Participate in team outings and team builder events (if local)

Medical Biller managing revenue cycle and supporting mental health services

Medical Biller – Mental Health

Medical Biller responsible for managing the revenue cycles in mental health services. Engaging with clients, processing claims, and ensuring accurate billing in a remote setting.

• Managing complex billing activities, ensuring accurate claim submission, resolving denials, and optimizing reimbursement
• Supporting the overall financial health of the organization
• Serving as a key resource for claim resolution, billing accuracy, and revenue integrity while maintaining compliance and patient confidentiality
• Collaborating effectively with providers, payers, and internal stakeholders in a fast-paced healthcare environment

Medical Billing Specialist managing billing activities for the Revenue Cycle team

Medical Billing Specialist handling complex billing activities, optimizing reimbursement, and ensuring claim accuracy. Collaborating with internal and external stakeholders for financial health and compliance in healthcare.

• Prepare and submit claims to insurance companies for ophthalmology, optometry, retina, and ASC services
• Utilize CPT, ICD-10, and HCPCS codes to ensure accurate and compliant claims submission
• Review and resolve coding discrepancies or claim denials efficiently
• Track, review, and follow up on unpaid or denied claims
• Work with insurance carriers to resolve payment delays, appeals, and denials
• Ensure timely and accurate posting of payments and adjustments
• Communicate with patients to explain billing issues, resolve account discrepancies, and collect outstanding balances
• Collaborate with clinical and administrative teams to streamline billing workflows
• Stay updated on changes in coding guidelines, payer policies, and industry best practices

Medical Biller responsible for submitting insurance claims and managing account balances

Medical Biller submitted claims for ophthalmology and optometry services. Managing account balances and ensuring reimbursement with expertise in payer guidelines and revenue cycle.

Medical Biller jobs in United States

See all jobs on JobTailor

Medical Biller

Medical Biller

Medical Biller – Mental Health

Medical Biller

Medical Biller