Medical Biller

T
Thrive2LivHealthcare
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
2-4 years
Required Skills
Microsoft OfficeEHRHIPAA

Requirements

  • High school diploma or equivalent.
  • 2-4 years of experience in medical billing, preferably in a clinical or mobile healthcare setting.
  • Certification in medical billing and coding (e.g., CBCS, CPB, CPC) preferred.
  • Proficiency in billing software, EHR systems, and Microsoft Office.
  • Understanding of ICD-10, CPT, HCPCS coding, insurance authorization, and healthcare compliance.
  • Knowledge of revenue cycle workflows and patient billing practices.
  • Strong attention to detail, accuracy, and time management.
  • Familiarity with Medicaid/Medicare billing, managed care, and value-based care models.

Responsibilities

  • Prepare and submit clean claims to private insurance, Medicare, Medicaid, and other third-party payers.
  • Verify accuracy of billing data, CPT/HCPCS codes, modifiers, and patient information.
  • Post payments, adjustments, and denials in the billing system.
  • Reconcile patient accounts and resolve discrepancies in a timely manner.
  • Review and appeal denied or unpaid claims with appropriate documentation.
  • Follow up with payers and patients to ensure proper claim resolution.
  • Ensure billing practices adhere to HIPAA, CMS guidelines, and payer-specific requirements.
  • Collaborate with clinical, front desk, and finance staff to resolve billing issues.
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