Medical Biller – Onsite

Position Summary:
We are looking for a Revenue Cycle Specialist to join our team and serve as a liaison between the billing department and third-party payers. This role is key in resolving overdue claims and ensuring accurate billing and efficient collections within our healthcare organization. The position will report to the Director of Collections.

Essential Duties and Responsibilities:

Monitor accounts to identify overdue payments and correct errors in previously submitted claims.
Communicate effectively with team members, third-party payers, and customers regarding claims errors via phone and email.
Analyze and research trends in claims rejections and partial payments, creating effective resolutions.
Prioritize denials and partial payments to ensure timely filing and payment.
Use reporting tools to analyze data and develop targeted action plans to resolve billing issues.
Ensure meticulous billing and collections using coding systems (CPT, ICD-10).
Process and reprocess medical claims in compliance with payer regulations and departmental guidelines.
Experience and Skills:

Minimum of 2 years of experience in medical billing and collections.
Experience with third-party payers, such as VA, Medicaid, Medicare Advantage, and Worker’s Compensation.
Familiarity with revenue cycle management and UB04/HCFA 1500 forms.
Proficient with Electronic Medical Record (EMR) systems.
Knowledge of healthcare collections procedures and billing codes (CPT, ICD-10).
Experience with billing software (Clearinghouse) and electronic health records (EHR).
Proven ability to reduce accounts receivable and improve collections.
In-depth knowledge of HIPAA compliance.
Excellent follow-up, time management, and communication skills.
Familiarity with PowerBI preferred but not required.
Proficiency in MS Office Suite (Outlook, Word, Excel).
Join our team to play a crucial role in the efficient management of our revenue cycle! Apply now!