Medical Biller Scotty R. Ortega, M.D., LLP Odessa, TX Job Details 1 day ago Qualifications Spanish Medical billing and coding data entry Account maintenance Health insurance policy knowledge High school diploma or GED Charge capture (medical billing) Financial records management Financial record maintenance Payment posting in medical billing systems Medical claims submission Experience working with individuals with language barriers Full Job Description About the

Role:

The Medical Biller plays a critical role in the healthcare revenue cycle by ensuring accurate and timely processing of patient billing and insurance claims. This position involves reviewing and coding medical procedures and diagnoses using CPT and ICD-10 coding systems to facilitate proper reimbursement. The Medical Biller collaborates closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and post payments efficiently. Fluency in Spanish enhances communication with a diverse patient population, improving service quality and patient satisfaction. Ultimately, this role ensures that healthcare providers receive appropriate compensation while maintaining compliance with medical billing regulations.

Please Note:

This position is not remote . The selected candidate must work on-site at our office and be available to report to the office as scheduled. Remote or hybrid work arrangements are not available for this role.

Minimum Qualifications:

Proven experience in medical billing and coding, including proficiency with CPT and ICD-10 coding systems. Strong understanding of medical insurance processes and claim submission procedures. Ability to post payments accurately and manage patient billing accounts. Fluency in Spanish to communicate effectively with Spanish-speaking patients. High school diploma or equivalent; certification in medical billing or coding is preferred.

Preferred Qualifications:

Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS). Experience with electronic health record (EHR) systems and medical billing software. Knowledge of ICD-10 coding system. Prior experience working in a multi-specialty medical practice or hospital setting. Strong organizational skills and attention to detail.

Responsibilities:

Review and process patient billing information accurately and in a timely manner. Apply CPT and ICD-10 coding to medical procedures and diagnoses to prepare claims for submission. Submit medical claims to insurance companies and follow up on unpaid or denied claims. Post payments and adjustments to patient accounts, ensuring accuracy and completeness. Communicate effectively with patients, healthcare providers, and insurance representatives to resolve billing issues and answer inquiries. Maintain up-to-date knowledge of medical billing regulations and insurance policies. Utilize Spanish language skills to assist Spanish-speaking patients with billing questions and concerns Scrub and review claims prior to submission to ensure documentation, coding, modifiers, and payer requirements are met.

Skills:

Expertise in CPT and ICD-10 coding is essential for accurately translating medical procedures and diagnoses into billable codes, which directly impacts claim approval and reimbursement. Knowledge of medical insurance processes allows the Medical Biller to navigate complex payer requirements and efficiently submit claims. Posting payments requires meticulous attention to detail to maintain accurate patient account records and financial reporting. Additionally, strong interpersonal and problem-solving skills are employed to resolve billing discrepancies and collaborate with healthcare providers and insurance representatives.