Medical Biller

About the role

We are seeking a detail-oriented and organized Medical Biller to join our healthcare organization in Colorado Springs, United States. In this role, you will play a crucial part in our revenue cycle management by accurately processing medical claims, managing patient accounts, and ensuring timely reimbursement from insurance providers. Your analytical skills and commitment to accuracy will directly impact our organization's financial health and operational efficiency.

• Process and submit medical claims to insurance companies with precision and attention to detail
• Review patient accounts and verify insurance coverage prior to service delivery
• Analyze claim denials and rejections, identify root causes, and implement corrective actions
• Follow up on outstanding claims to ensure timely payment and resolution
• Enter and maintain accurate patient billing information in medical billing software systems
• Apply appropriate ICD-10 and CPT coding to ensure proper claim submission
• Communicate with patients regarding billing inquiries, payment options, and account balances
• Reconcile patient accounts and resolve billing discrepancies efficiently
• Maintain comprehensive knowledge of insurance plans, policies, and coverage requirements
• Ensure all billing activities comply with HIPAA regulations and organizational standards
• Generate billing reports and provide data analysis to support revenue cycle improvements
• Collaborate with clinical and administrative staff to resolve billing-related issues

Qualifications & Requirements

• Proven experience in medical billing and claims processing
• Proficiency with medical billing software and Electronic Health Records (EHR) systems
• Strong knowledge of ICD-10 and CPT coding systems
• Comprehensive understanding of HIPAA regulations and healthcare compliance requirements
• Excellent attention to detail with demonstrated ability to maintain high accuracy standards
• Exceptional organizational and time management skills
• Proficiency in data entry with proven accuracy in handling sensitive information
• Knowledge of insurance verification and patient account management processes
• Strong analytical and problem-solving abilities
• Excellent written and verbal communication skills
• Ability to work independently and meet established deadlines
• Familiarity with multiple insurance plans and billing procedures
• Customer service experience in a healthcare setting (preferred)
• Medical terminology knowledge (preferred)
• 2+ years of medical billing experience (preferred)