Medical Biller

2025 is a New Year and it deserves fresh ideas and perspectives. We have added some new business and are seeking candidates with positive attitudes, ambition, and a desire to learn and lead.

This increase in workload opens up several positions:

1) Credentialing Specialist

2) Customer Service

3) Revenue Cycle Reps

4) EDI/ERA Claims Specialist

5) Executive Assistant to CEO & CFO

6) Development (EMR)

Duties vary, below are the basics:

- Review and analyze medical documentation to ensure accurate and timely billing
- Assign appropriate codes to medical procedures and diagnoses using ICD-10, ICD-9, and other coding systems
- Prepare and submit claims to insurance companies electronically or by mail
- Follow up on unpaid claims and denials, and appeal when necessary
- Process payments from insurance companies and patients, and post them to patient accounts
- Maintain accurate and up-to-date patient records, including billing information and payment history
- Collaborate with healthcare providers, insurance companies, and patients to resolve billing issues or discrepancies
- Stay current with changes in medical billing regulations and coding guidelines

Skills:

- Proficient in medical billing processes, including coding, claim submission, and payment processing
- Knowledge of medical office procedures and terminology
- Familiarity with coding systems such as ICD-10, ICD-9, CPT, HCPCS
- Experience with EMRs, medical records management, and documentation
- Understanding of DRG (Diagnosis Related Group) coding principles
- Strong attention to detail and accuracy in data entry and record keeping
- Excellent communication skills for interacting with healthcare providers, insurance companies, and patients
- Ability to work independently as well as part of a team in a fast-paced environment
- Proficiency in using computer systems for data entry, claim submission, and payment processing

Skills Needed also Vary - tell us about your unique skill set!

Note: This job description is not intended to be all-inclusive. Employees may perform other related duties as negotiated to meet the ongoing needs of the organization.

Practice Management Group Benefits Information

Benefits are available to all Full-Time Practice Management Group (PMG) employees.

New Hire is subject to a 90-day probationary period, starting at the date of hire, to be eligible to receive benefits listed unless otherwise noted.

Health Insurance – 2 Options with Blue Cross Blue Shield

PMG pays 95% of the health insurance premium, employee pays 5% - age based

· Blue Essentials Gold 1 Plan – Individual/Family

Deductible = $1,500/$3,000

Office Visit Copay = $20

Specialist Visit = $50

Maximum Out of Pocket = $4,500/$9,000

· Blue Essential Gold HD3 – Individual/Family

Deductible = $2,800/$5,600

Office Visit Copay = Deductible/Coinsurance

Specialist Visit = Deductible/Coinsurance

Maximum Out of Pocket = $2,800/$5,600

Dental/Vision/Voluntary Life - Principal Life Insurance Company

· Dental

Deductible = $50/annual

Individual = $14.19/pp

Family = $46.77/pp

· Vision – VSP Choice Network

Individual = $3.79/pp

Family = $11.61/pp

· Voluntary Life

Available for Employee & Dependents

PMG provides Basic Life Policy for all Employees of $15,000 at no cost to Employee

Simple IRA - Capital Group/American Funds

· Annual enrollment requirement = meet $5,000 in compensation during the calendar year

· Employer Match up to 3%

Paid Time Off (PTO)

· Accrued each pay period, based on # anniversary date with PMG:

· Anniversary date 1-4 = 4hrs/pp = 13 days annual

· After Anniversary Year 4 = 5.75hrs/pp = 18.69 days annual

· After Anniversary Year 7 = 6.25hrs/pp = 20.31 days annual

· After Anniversary Year 10 = 7.69hrs/pp = 25 days annual

· After Anniversary Year 13 = 9.23hrs/pp = 30 days annual

Paid Holidays – (9)

· New Year’s Day

· Good Friday

· Memorial Day

· Independence Day

· Labor Day

· Thanksgiving Day

· Friday After Thanksgiving Day

· Christmas Eve

· Christmas Day

Additional Benefits

· PMG Birthday Lunch/Flowers

· PMG Days (Social Outings)

Job Type: Full-time

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to Relocate:

• Murrells Inlet, SC 29576: Relocate before starting work (Required)

Work Location: In person

Salary : $50