Medical Biller

Job Description

Job Description

Location: [Insert Location]

Job Type: Full-Time

About Us:
We are seeking a skilled and detail-oriented Medical Biller with strong expertise in Accounts Receivable (A/R), payment posting, and experience with the EMR system, eClinicalWorks. If you are passionate about accuracy, efficiency, and contributing to the financial health of a medical practice, we encourage you to apply.

Job Summary:
The Medical Biller will be responsible for managing the billing and revenue cycle processes for our cardiology office. This includes ensuring accurate claims submission, resolving A/R issues, posting payments, and maintaining compliance with insurance and regulatory requirements. The ideal candidate will have a strong background in medical billing, particularly in cardiology, and hands-on experience with eClinicalWorks.

Key Responsibilities:

1. Accounts Receivable (A/R) Management:
   
   
   • Monitor and follow up on outstanding claims and denials.
   • Resolve unpaid or denied claims by identifying errors, correcting claims, and resubmitting them to insurance companies.
   • Communicate with insurance companies, patients, and providers to resolve billing discrepancies.
   • Conduct regular A/R reviews and provide reports to management.
2. Payment Posting:
   
   
   • Accurately post payments from insurance companies and patients.
   • Reconcile payments with claims and ensure proper allocation of adjustments, write-offs, and refunds.
   • Identify and resolve discrepancies in payment posting.
3. Claims Submission:
   
   
   • Prepare and submit clean claims to insurance companies electronically or via paper.
   • Verify patient insurance eligibility and benefits prior to services being rendered.
   • Ensure claims are submitted in a timely manner to meet payer deadlines.
4. EMR (eClinicalWorks) Expertise:
   
   
   • Utilize eClinicalWorks to manage patient accounts, billing, and reporting.
   • Maintain up-to-date and accurate patient records in the EMR system.
   • Generate and analyze reports to track billing performance and identify areas for improvement.
5. Compliance and Documentation:
   
   
   • Ensure compliance with HIPAA, CMS, and other regulatory requirements.
   • Maintain detailed documentation of billing activities, including correspondence with payers and patients.
   • Stay updated on changes in coding, billing, and insurance regulations.
6. Patient Communication:
   
   
   • Respond to patient inquiries regarding billing and insurance in a professional and timely manner.
   • Assist patients with setting up payment plans or resolving billing issues.

Qualifications:

• High school diploma or equivalent (Associate’s degree in Medical Billing or related field preferred).
• Minimum of 2-3 years of medical billing experience, preferably in a cardiology or specialty practice.
• Strong knowledge of Accounts Receivable (A/R) management and payment posting.
• Proficiency in eClinicalWorks EMR system is required.
• Familiarity with cardiology-specific coding (e.g., CPT, ICD-10, HCPCS) is a plus.
• Excellent understanding of insurance guidelines, including Medicare, Medicaid, and commercial payers.
• Strong attention to detail, organizational skills, and ability to meet deadlines.
• Exceptional communication and interpersonal skills.
• Ability to work independently and as part of a team.

Preferred Skills:

• Certification in Medical Billing and Coding (e.g., CPC, CBCS) is a plus.
• Experience with cardiology procedures and terminology.
• Knowledge of revenue cycle management best practices.