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CP
Chiro Practice Plus
Remote Biller
Career Insights for Medical Claims Processor / Representative
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Scorecard
Based on Maine data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$45,209 / year median in Maine
-11% projected decline
Job Description
Job Summary We are seeking a detail-oriented and motivated Remote Biller to join our healthcare billing team. In this role, you will be responsible for managing the complete billing process for medical services, ensuring accurate and timely submission of claims, and maintaining clear communication with healthcare providers and insurance companies. Your expertise will help streamline revenue cycle management, improve cash flow, and support high-quality patient care. This position offers the flexibility of working remotely while contributing to a dynamic healthcare environment. Responsibilities Prepare and submit medical claims using billing software, ensuring compliance with insurance requirements and regulations. Review and verify patient information, medical records, and coding details such as DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure accuracy. Follow up on unpaid or denied claims by contacting insurance companies or patients to resolve discrepancies or gather additional information. Maintain detailed records of billing activities, payments received, and outstanding balances within EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems. Collaborate with healthcare providers to clarify billing issues, update medical records, and ensure proper documentation for claims processing. Stay current with healthcare claims management practices, health insurance policies, and coding updates to optimize reimbursement processes. Provide excellent customer service by addressing patient inquiries related to billing statements or insurance coverage promptly and professionally. Experience Proven experience in medical billing with a strong understanding of healthcare claims management processes. Familiarity with medical coding systems including