Medical Biller

Job Description

Job Description

Specific Role:

Medical Biller

Reports To:

Revenue Cycle Manager

Department:

Finance

Location:

Main Admin 85048

BLS Occ:

Medical Records Specialist

(SOC 29-2072)

Salary Range:

$22.00-$28.00

Schedule:

FT M-F 8-5

Travel:

None

The Medical Biller is responsible for ensuring accurate, timely, and compliant billing for all patient encounters within a private medical practice. This role supports the revenue cycle by preparing claims, reviewing coding accuracy, resolving denials, and working closely with insurance, clinical staff, patients, and payers. The Medical Biller plays a critical role in maximizing reimbursement, reducing errors, and supporting financial stability for the practice.

Key Responsibilities

Claim Preparation & Submission

• Generate and submit clean claims (electronic and paper) for all services provided by the practice
• Review documentation, coding, modifiers, and charge capture for accuracy prior to submission
• Ensure compliance with payer-specific guidelines and private practice workflows.

Accounts Receivable (A/R) & Denial Management

• Monitor insurance and patient A/R aging reports and prioritize timely follow-up.
• Investigate, correct, and resubmit denied or rejected claims
• Comfortable with communicating with insurance companies to resolve claim issues, eligibility concerns, or authorization discrepancies over phone or email.
• Document all actions taken in the practice management system

Patient Billing & Collection Support

• Generate patient statements and assist with questions regarding balances, payment plans, or billing inquiries
• Explain EOBs, patient responsibility, and deductible/coinsurance in clear, patient-friendly language
• Support front office and clinical teams in understanding billing-related requirements.
• Answer phone calls and voicemails in a timely manner to assist patients and staff with questions related to patient billing

Coding Accuracy & Compliance

• Work closely with coders to ensure proper CPT, ICD-10, and HCPCS coding
• Identify documentation gaps and request clarifications as needed.
• Maintain compliance with federal, state, and payer regulations, including HIPAA, CMS, and Payers

Internal Communication & Collaboration

• Partner with administrative staff to ensure efficient flow of information required to bill correctly and timely
• Notify leadership of trends such as recurring denials, payer issues, coding errors, or revenue risks

Reporting

• Prepare weekly/monthly billing reports as assigned (A/R aging, denial trends, productivity, etc.)
• Provide feedback to the Revenue Cycle Manager on improvement opportunities
• Must be able to sit continuously for 8 hours
• Performs other duties as assigned by supervisor or management to support operational and organizational needs.

Education:

• High school diploma or equivalent required
• Associate’s degree beneficial

Experience:

• 2+ years of medical billing experience in a private practice or multi-provider outpatient setting
• Knowledge of CPT, ICD-10, HCPCS, and insurance billing rules
• Experience with electronic health record (EHR) and practice management systems
• Strong understanding of commercial insurance, Medicare/Medicaid, and specialty payer rules
• Excellent attention to detail, accuracy, and time management

Preferred

• Experience in specialty practice (e.g., neurology, infusion, pain, cardiology)
• CPC, CPB, or related medical billing/coding certification
• Familiarity with multi-location billing workflows
• Athena EHR preferred

Qualifications/Skills:

• Strong analytical and problem-solving skills.
• Professional communication with patients, staff, and insurance representatives.
• Ability to work independently and manage competing priorities.
• High level of confidentiality and integrity.
• Strong computer proficiency including EHR systems, billing platforms, and Excel.
• Ability to sit for extended periods.
• Occasional interaction with patients at the front desk or over the phone.
• Ability to work in a cubicle setting with a large group of people
• Positive attitude and a collaborative demeanor
• Well versed in Microsoft Suite
• Tech Savy
• Comfortable with cross training
• Interpret Data i.e. reports and electronic face sheets
• Health Information Exchange with hospitals and other entities

About Us:

Foothills Neurology is a busy private practice with 9 clinics throughout the valley offering a full range of dedicated providers ready to provide comprehensive and compassionate care

As we work together to put the needs of the patient first, we are also dedicated to our employees, providing benefit plans to take care of you and your family, now and in the future. You can thrive in an environment that is fun and provides the resources you need to succeed.

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance
• Paid time off
• Paid Holidays

Company Description

Foothills Neurology is a private practice offering a full range of neurologic specialties ready to provide comprehensive and compassionate care

As we work together to put the needs of the patient first, we are also dedicated to our employees, providing benefit plans to take care of you and your family, now and in the future. You can thrive in an environment that is fun and provides the resources you need to succeed.

Company Description

Foothills Neurology is a private practice offering a full range of neurologic specialties ready to provide comprehensive and compassionate care\r\n\r\nAs we work together to put the needs of the patient first, we are also dedicated to our employees, providing benefit plans to take care of you and your family, now and in the future. You can thrive in an environment that is fun and provides the resources you need to succeed.