Medical Biller

Location: Remote – Must Reside in California 

We are seeking a detail-oriented and proactive remote Medical Biller to join our team. In this vital role, you will be responsible for managing the complete billing cycle within the medical practice, ensuring accurate and timely submission of claims, and facilitating smooth financial operations. Your expertise will help optimize revenue flow, improve patient account management, and support the overall efficiency of our medical services. This position offers an exciting opportunity to work closely with clinical staff and administrative teams to uphold high standards of accuracy and professionalism in medical billing processes.

Responsibilities

• Prepare and submit insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring compliance with coding standards such as CPT (Current Procedural Terminology), ICD-9, and ICD-10.
• Review medical records to verify proper documentation supporting billing codes, including DRG (Diagnosis-Related Group) assignments for inpatient procedures.
• Perform accurate coding for procedures, diagnoses, and treatments utilizing ICD coding systems and CPT codes to facilitate correct reimbursement.
• Follow up on unpaid or denied claims through effective communication with insurance companies and patients to resolve discrepancies or issues related to medical collections.
• Maintain detailed records of billing transactions, claim statuses, and patient accounts while adhering to privacy regulations.
• Collaborate with clinical staff to ensure all documentation aligns with billing requirements and supports accurate coding practices.
• Stay updated on changes in medical billing regulations, coding updates, and insurance policies to ensure ongoing compliance.

• Minimum 5 years' experience in medical billing with a strong understanding of medical coding including CPT, ICD-9, ICD-10, and DRG systems.
• Office Ally experience is required. 
• Familiarity with EMR (Electronic Medical Record) and EHR (Electronic Health Record) systems used in healthcare settings.
• Knowledge of medical terminology, medical records management, and healthcare documentation standards.
• Prior experience in a medical office environment handling billing processes and patient account management.
• Strong attention to detail with excellent organizational skills to manage multiple claims efficiently.
• Ability to communicate effectively with insurance providers, patients, and clinical staff to resolve billing issues promptly.
• Certification or training in medical coding is preferred but not required; however, familiarity with ICD coding practices is essential. Join us as an In-House Biller and play a crucial role in ensuring our practice’s financial health while supporting excellent patient care!
•  Must Reside in California