Medical Biller

About Us: ENT Specialties, P.C. is a privately owned practice that has been providing comprehensive ENT services to all ages since 1991. As the largest Otolaryngology practice in Lincoln, we have a dedicated group of physicians, physician assistants, audiologists, nurses and staff that excel in providing the highest quality care with a compassionate touch.

Position Overview: We are looking for a detail-oriented and highly skilled Medical Biller to manage all aspects of our billing cycle. The ideal candidate will have extensive experience in medical billing, preferably within a private practice setting, and a deep understanding of insurance claims, coding, and reimbursement processes.

Key Responsibilities

• Perform coding reviews for clinical visits, ensuring compliance with insurance guidelines for both commercial and government payers
• Prepare and submit insurance claims to various insurance companies, ensuring adherence to payer-specific requirements
• Review claim denials for coding errors and other issues, initiating corrections and resubmissions as necessary
• Proactively follow up on unpaid claims, addressing denials or rejections promptly to ensure timely reimbursement
• Accurately post payments and adjustments from Explanation of Benefits (EOB) statements and perform daily financial reconciliation for the clinic
• Read and interpret insurance Explanation of Benefits (EOBs) to identify payment discrepancies and take corrective action
• Handle inquiries from patients regarding visits, insurance coverage/benefits, payments, or general questions with a focus on delivering exceptional customer service
• Work closely with clinical and front office staff to ensure accurate documentation and assist with patient setup or insurance-related questions
• Review patient statements for accuracy and manage the collections process as needed, ensuring timely follow-up
• Stay current with changes in insurance regulations and billing practices, ensuring all billing activities comply with the latest standards
• Maintain strict patient confidentiality in accordance with HIPAA regulations and organizational policies

Benefits

• Competitive compensation package
• Comprehensive benefits package (Health/Dental/Vision Insurance, Health Savings Account, 401k Profit Sharing, Life Insurance, etc.)

Job Type: Full-time

Pay: $20.38 - $24.55 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

• Experience in medical billing preferred, demonstrating a solid track record of accuracy and efficiency
• Strong understanding of medical coding systems, including CPT, ICD-10 codes, and modifiers, ensuring precise and compliant coding practices
• Proven experience in filing claim appeals with insurance companies to secure maximum entitled reimbursements
• Proficient in utilizing medical billing software and EHR systems
• Familiarity with medical terminology, procedures, and insurance guidelines
• Capable of handling multiple tasks simultaneously while maintaining a high level of accuracy and professionalism
• Ability to work courteously and respectfully with fellow employees and patients, fostering a positive and productive work environment
• Exceptional organizational skills and strong attention to detail, ensuring all billing activities are conducted efficiently and accurately
• Excellent phone and in-person customer service skills, providing clear and empathetic communication with patients and resolving inquiries promptly
• Strong critical thinking skills to identify issues, analyze information, and implement effective solutions