Job Description

Job Description

We are seeking a detail-oriented and motivated Medical Biller/Collector to support a fast-paced healthcare organization. This role is responsible for managing billing operations, following up on accounts, and communicating with insurance providers and patients to ensure timely and accurate reimbursement.

Responsibilities/ Job Duties:

• Process and review medical claims for accuracy and completeness prior to submission
• Perform high-volume account follow-up (100+ daily touches including calls, claim reviews, and updates)
• Handle both inbound and outbound calls with insurance companies and patients
• Work with a variety of payers including commercial, HMO, and government plans
• Review and interpret EOBs (Explanation of Benefits) and communicate findings to patients when needed
• Resolve billing discrepancies, denials, and unpaid claims in a timely manner
• Enter and maintain accurate patient and billing information in the EMR system
• Utilize appropriate billing and coding practices (ICD, CPT, and UBO forms as applicable)
• Ensure compliance with HIPAA and organizational billing guidelines
• Collaborate with internal teams to resolve account issues and improve workflow efficiency

Minimum Education and Experience Qualification Requirements:

• Minimum 1+ year of medical billing and/or collections experience
• Experience working with commercial and government insurance payers
• Strong understanding of billing processes, claims follow-up, and denial management
• Familiarity with EOBs, coding basics (ICD/CPT), and insurance verification
• Experience with EMR systems (such as Allscripts or Veradigm preferred, but not required)
• Excellent attention to detail and ability to work in a high-volume, fast-paced environment
• Strong communication and customer service skills

Schedule/ Shift:Monday – Friday, 8 AM – 5 PM

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