Senior Medical Biller

Job Overview
We are seeking an experienced, detail-oriented, and highly reliable Medical Biller to oversee our billing operations. This role includes managing insurance claims, resolving unpaid claims, and maintaining accurate patient account records. Familiarity with revenue cycle management and EHR systems such as DrChrono is preferred. You will also provide regular system-generated reports, such as AR aging, to physicians and office staff.

Key Responsibilities

• Insurance Claims Management: Submit and follow up on claims with private and government payers, ensuring timely processing and resolution of denials or delays.

• Payment Posting: Accurately post payments from insurers and patients into our EHR system.

• Patient Billing: Prepare and send patient statements for non-covered services. Ensure effective procedures for capturing credit cards on file, collecting co-pays, and utilizing collections agencies as needed.

• Account Reconciliation: Review and resolve account discrepancies while maintaining precise financial records.

• Reporting: Generate and analyze AR aging and other key financial reports for the practice.

• Compliance: Adhere to insurance regulations, HIPAA standards, and coding requirements (ICD-10, CPT).

• Patient Assistance: Address billing inquiries and offer clear explanations of charges and payment options.

Required Qualifications:

• Education: Associate’s degree in healthcare administration, medical billing, or a related field preferred.

• Certifications: Certified Medical Biller (CMB), Certified Professional Coder (CPC), or equivalent.

• Experience: Minimum of 5-7 years in medical billing, with a focus on cardiology and primary care preferred.

• Technical Skills: Proficiency in EHR systems (DrChrono preferred), Microsoft Office, and medical billing software.

• Knowledge: Strong understanding of ICD-10, CPT coding, insurance processes, and HIPAA regulations.

• Communication Skills: Excellent verbal and written communication for interactions with patients, insurance companies, and healthcare professionals.

• Speaking Voice: Speaks with confidence and with a neutral accent that can be easily understood by Americans.

• Problem Solving: Ability to proactively resolve billing discrepancies and improve processes.

Key Competencies

• Attention to detail and accuracy

• Strong organizational and multitasking skills

• Discretion with sensitive patient data

• Customer-service mindset

• Action-oriented approach to problem resolution

Shift / Hours:

Monday Friday in one single shift, 8:00 AM EST 5:00 PM EST. Note this is +12 or +13 Philippine time, which will be 8:00 PM PHT 5:00 AM in PHT.