Job Description
Summary:
We are seeking an experienced and detail-oriented Medical Biller to oversee accurate billing and coding processes while ensuring compliance with all regulatory standards. The role involves auditing charges, resolving claim errors, and improving billing accuracy. The ideal candidate will have advanced knowledge of insurance billing practices, exceptional problem-solving skills, and the ability to work both independently and within a team.
Key Responsibilities
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Accurately translate CPT/ICD-10 codes and resequence codes as required.
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Submit clean claims and proactively follow up on unpaid, denied, or rejected claims.
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Perform pre-submission audits to ensure documentation meets Medicare/Medicaid and compliance standards.
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Maintain and update Charge Master files in accordance with professional and technical billing guidelines.
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Identify and correct billing data errors in the system to ensure accurate reimbursement.
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Research and analyze billing discrepancies, collaborate with third parties, and resolve claim issues.
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Provide technical guidance to coding teams and act as the subject matter expert on billing.
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Handle billing inquiries from customers and internal staff professionally.
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Monitor system performance (Meditech and EHR platforms) to support billing accuracy.
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Identify opportunities for revenue recoupment and implement preventative billing solutions.
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Perform other duties as assigned.
Requirements
Education & Skills
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High School Diploma or GED (required)
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Strong knowledge of ICD-10, CPT, and payer-specific billing rules
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Advanced understanding of medical terminology and billing cycles
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Strong organizational, problem-solving, and communication skills
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Ability to prioritize and handle multiple billing projects simultaneously
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Proficient in using EHR systems, Meditech, and billing platforms
Experience
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Minimum 5 years of experience in medical or laboratory billing
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