Benefits:
401(k)
Dental insurance
Free uniforms
Health insurance
Vision insurance
About the Role
CAREnomics is seeking a detail-oriented and organized Medical Biller to join our team. The Medical Biller is responsible for performing billing functions for clinical services rendered, ensuring accurate claim submission, reimbursement tracking, and effective communication with patients and insurance carriers.
Key Responsibilities
Determine appropriate charges based on services provided.
Review patient accounts to ensure accuracy and completeness of claims for maximum reimbursement.
Review explanations of benefits (EOBs) from third-party payers and determine whether payments were processed correctly and if denied claims can be re-billed.
Analyze and maintain billing reports to ensure timely claim submission.
Identify and resolve problematic accounts requiring further investigation.
Communicate with insurance carriers and patients regarding account inquiries.
Assist patients with billing concerns and questions.
Notify management of ongoing billing issues and trends.
Maintain organized records including charge slips, EOBs, benefits documentation, and patient/client information.
Prepare and distribute billing reports.
Refer accounts to collections in accordance with company policy.
Perform additional duties as assigned.
Qualifications
Education
High School Diploma or equivalent required.
Experience
1–3 years of medical billing or related experience preferred.
Equivalent combination of education and experience will be considered.
Required Skills
Excellent verbal and written communication skills.
Strong critical thinking and problem-solving abilities.
Active listening skills.
High attention to detail and accuracy.
Ability to manage multiple priorities and meet deadlines.
Proficiency with medical billing systems and insurance claim processing.