JOB OVERVIEW

Oversees daily billing operations which include preparing, submitting, and following up on insurance claims to ensure accurate and timely reimbursement for services provided.

Clinic Operating Hours:

Mon-Fri 8:00-5:00 ESSENTIAL

FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO

• Coordinate and support daily billing operations within the clinic
• Review coded patient encounters to ensure accuracy prior to claim submission
• Prepare and submit claims to insurance carriers as required
• Verify patient insurance information and eligibility
• Ensure claims include appropriate diagnosis and procedure codes
• Post insurance payments, adjustments, and patient payments into the billing system
• Reconcile payments and ensure proper allocation to patient accounts
• Identify and resolve discrepancies in payment postings
• Review rejected or denied claims to determine the cause of denial
• Correct claims and resubmit as necessary
• Communicate with insurance carriers regarding claim status and payment issues
• Monitor aging reports and follow up on outstanding claims
• Generate patient statements and respond to patient billing inquiries
• Participate in internal audits to ensure billing accuracy and compliance
• Maintain compliance with billing guidelines and payer regulations
• Protect patient information in accordance with HIPAA
• Perform other duties as assigned

QUALIFICATIONS

• High School Diploma/GED
• Associate's degree in medical billing, healthcare administration, or related field (preferred)
• Certified Professional Biller (CPB) or equivalent certification (preferred)
• 2+ years of experience in medical billing, revenue cycle operations, or similar healthcare role (preferred)

SKILLS:

• Knowledge of medical billing procedures and insurance claim processes
• Strong attention to detail and organizational skills
• Strong problem-solving skills
• Ability to analyze billing reports and resolve reimbursement issues
• Ability to communicate effectively with patients, providers, and insurance representatives
• Proficiency with electronic health record (EHR) and medical billing software

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person