Medical Biller (full time)

Job Summary

We are seeking a detail-oriented and customer-focused Medical Biller to join our Patient Accounting team. This role involves billing patient accounts to insurance companies or payors efficiently, accurately, and promptly, in compliance with regulations. The ideal candidate will also assist patients, families, and external partners professionally and courteously.

Key Job Duties and Responsibilities

Daily Responsibilities:

• Demonstrates AIDET principles consistently.
• Obtains and verifies insurance and demographic information.
• Understands Explanation of Benefits (EOBs), billing ticket statuses, and takes appropriate actions.
• Processes claim edits and ensures accurate claim submissions.
• Enters detailed financial notes into the EMR system.
• Submits and processes Facility & Professional claims.
• Maintains strict confidentiality and adheres to HIPAA regulations.
• Answers and returns patient and insurance carrier calls.
• Processes primary, secondary, and tertiary insurance claims.
• Follows up on insurance requests and accounts receivable.
• Verifies eligibility and benefits through insurance websites.
• Reviews authorizations and handles denial management.
• Coordinates with the coding department for clarification or requests.
• Follows up on aging accounts to ensure timely payments.
• Maintains accurate and complete patient accounts.
• Performs other duties as assigned.

Job Requirements

Required Education and Licenses: none

Required Work Experience:

• Proficiency in computer use.
• Knowledge of basic office functions, including message-taking, cash drawer balancing, and data entry.

Required Knowledge, Skills, and Abilities:

• Exceptional customer service, written and verbal communication skills.
• Positive attitude and commitment to the organization’s values and behavioral standards.
• Ability to work collaboratively, exceed expectations, and maintain a professional demeanor.
• Strong problem-solving and critical thinking skills.
• Proficiency with computer systems and multi-line phone systems.
• Adaptability to changing workflows and situations.

Preferred Qualifications:

• Education or experience in medical office work, referrals, or billing is a plus.

Functional Demands

Population(s) Served:
This role serves diverse populations, including neonatal, pediatric, adolescent, adult, and geriatric patients, as well as individuals of varying genders, races, ethnicities, abilities, and socioeconomic backgrounds.

Physical Demands:

• Fast-paced office environment requiring multitasking and prioritization.
• Light lifting (<35 lbs.), bending, kneeling, twisting, and reaching.
• Prolonged periods of sitting, standing, and typing.
• Visual and auditory acuity required for effective communication and task completion.

Environmental Conditions:

• Primarily indoors with some exposure to outdoor elements (e.g., snow/ice when entering/exiting).
• Potential exposure to germs and viruses due to public interactions.