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Physician Medical Biller Epic / Medicare / Medicaid

Job Description - Physician Medical Biller Epic / Medicare / Medicaid

Physician Billing Specialist (Epic | Medicare/Medicaid | Insurance Follow-Up)
Experience: 1–2 Years | Healthcare Revenue Cycle

Job Summary
We are seeking a detail-oriented Physician Billing Specialist with hands-on experience in insurance billing, claims follow-up, and denial management. This role is ideal for someone with strong knowledge of Medicare/Medicaid, medical insurance coverages, and Epic EMR who thrives in a fast-paced healthcare environment.

Key Responsibilities

  • Submit and follow up on primary and secondary insurance claims
  • Perform insurance carrier follow-up on outstanding and denied claims
  • Analyze EOBs/Remittance Advice and submit appeals for denials or underpayments
  • Verify patient insurance eligibility, benefits, and demographic accuracy
  • Determine and communicate patient financial responsibility
  • Update patient accounts and insurance information in Epic
  • Ensure compliance with HIPAA and billing regulations
  • Conduct outbound calls to insurance companies regarding claim status
  • Maintain accurate documentation and meet productivity standards

Qualifications

  • High School Diploma or GED required
  • 1–2 years of physician billing experience, including carrier follow-up
  • Strong knowledge of Medicare, Medicaid, and commercial insurance
  • Experience with Epic EMR or similar medical billing systems (preferred)
  • Working knowledge of HIPAA compliance
  • Excellent communication, analytical, and organizational skills
  • Ability to multitask, work independently, and meet deadlines
  • Computer proficiency and attention to detail
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