Job Description
The Medical Biller is responsible for managing the complete billing cycle — from claim submission to payment posting and denial management. This role plays a vital part in maintaining the financial health of our practice and ensuring the accuracy and efficiency of all reimbursement activities.
Key Responsibilities
- Submit claims to payers electronically and monitor for timely receipt.
- Follow up on outstanding claims to ensure prompt and accurate payment.
- Identify, investigate, and resolve denied or rejected claims by determining root causes and taking corrective action.
- Track claim errors, denials, and payer patterns to identify trends and proactively prevent future issues.
- Work collaboratively with clinical, front office, and billing teams to ensure accurate patient data and seamless coordination across departments.
- Post payments, adjustments, and denials accurately and in a timely manner.
- Maintain up-to-date knowledge of insurance regulations, payer requirements, and CPT/ICD-10 coding.
- Communicate professionally with patients and payers to resolve billing inquiries and maintain positive relationships.