Job Description

Benefits:

401(k)

401(k) matching

Competitive salary

Health insurance

**Key Responsibilities: **

• Prepare, review, and submit medical claims (electronic and paper) to insurance companies and third-party payers.

• Verify insurance coverage, eligibility, and patient demographics prior to claim submission.

• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim denials.

• Identify, research, and resolve claim rejections or denials promptly.

• Conduct timely and professional follow-up with insurance companies and patients on unpaid or underpaid claims.

• Post payments, adjustments, and reconcile accounts accurately in the practice management system.

• Communicate with providers and clinical staff regarding missing or incomplete documentation impacting billing.

• Maintain knowledge of current CPT, ICD-10, and HCPCS codes, as well as payer policies and reimbursement guidelines.

• Generate aging reports and assist in collections efforts as needed.

• Ensure confidentiality and compliance with HIPAA regulations in all billing activities.

Qualifications:

• High school diploma or equivalent required; Associate’s degree or certification in medical billing/coding preferred.

• 1–3 years of experience in medical billing, collections, or revenue cycle management.

• Strong understanding of medical terminology, coding systems, and insurance claim processes.

• Excellent attention to detail, problem-solving, and organizational skills.

• Effective communication and customer service skills.

• Proficiency with electronic health records (EHR) and billing software.

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