Full-Cycle Medical Biller / Revenue Cycle Specialist LV Surgery Associates Las Vegas, NV Job Details Full-time $20 - $26 an hour 16 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance Life insurance Qualifications Appeals Teamwork Medicare Overseeing healthcare denial management Medicaid health insurance Attention to detail Medical insurance appeals management Organizational skills Medical explanation of benefits reviews Medicaid Productivity software Insurance claims appeal handling Medical terminology Full Job Description Position Summary The Full-Cycle Medical Biller is responsible for all aspects of the medical billing revenue cycle, including insurance verification, charge review, claim submission, payment posting, denial management, appeals, accounts receivable follow-up, and patient billing.

The ideal candidate is detail-oriented, organized, able to work independently, and thrives in a fast-paced surgical practice. ResponsibilitiesFront-End Revenue Cycle Verify insurance eligibility and benefits Review referrals and authorizations Confirm medical necessity requirements Review patient demographics for accuracy Identify coordination of benefits issues Verify payer guidelines and coverage policies Charge Entry & Coding Review Review operative reports and provider documentation Enter professional charges accurately Review CPT, HCPCS, ICD-10-CM and modifier usage Identify missing documentation Ensure compliance with payer billing guidelines Work closely with providers regarding coding questions Claims Processing Submit electronic and paper claims Correct claim edits and rejections Resolve clearinghouse issues Submit corrected claims Monitor claim acceptance Payment Posting Post insurance payments Post patient payments Review EOBs and ERAs Identify payment discrepancies Process contractual adjustments Balance daily deposits Accounts Receivable Follow up on unpaid claims Research claim denials Contact insurance companies Submit reconsiderations and appeals Track timely filing limits Work aging reports Resolve underpayments Identify payment trends Insurance Knowledge Experience with: Medicare Medicaid Commercial insurance Managed Care Workers' Compensation Out-of-Network claims Prior Authorizations Coordination of Benefits Patient Accounts Review patient balances Explain insurance benefits Process payment arrangements Resolve billing inquiries Generate patient statements Revenue Cycle Management Monitor key performance indicators Reduce AR aging Improve collections Maintain billing compliance Identify workflow improvements Assist with process optimization QualificationsRequired Minimum 5 years of full-cycle medical billing experience Surgical billing experience preferred Strong knowledge of:

CPT ICD-10-CM HCPCS

Medical terminology Experience working insurance denials and appeals Experience with Medicare, Medicaid and commercial payers Knowledge of modifier usage Excellent written and verbal communication skills Strong organizational skills Ability to prioritize multiple tasks Detail oriented Proficient with Microsoft Office Preferred Multi-specialty surgical practice experience Experience with vascular, bariatric, colorectal, breast, plastic and general surgery Experience using DrChrono (preferred but not required) Familiarity with Availity, Noridian, Optum, UHC, HPN, Cohere, and other payer portals CPC or CPB certification is a plus Ideal Candidate We are looking for someone who: Is dependable and accountable Has exceptional problem-solving skills Can work independently with minimal supervision Takes ownership of claims until payment is received Is comfortable communicating with insurance representatives and providers Is committed to maximizing reimbursement while maintaining compliance Works well in a team-oriented environment Has a positive attitude and strong work ethic

Pay:

$20.00 - $26.00 per hour

Benefits:

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

Work Location:

In person