Medical Biller

We are seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The ideal candidate must have a strong background in denial management and at least 1 year of hands-on experience with AdvancedMD software. This role is critical in ensuring timely and accurate billing, minimizing denials, and optimizing reimbursements from insurance companies.

Key Responsibilities:

Accurately generate and submit medical claims to insurance payers via AdvancedMD.
Monitor, track, and follow up on unpaid claims and denials.
Perform comprehensive denial analysis and implement effective appeal strategies.
Work closely with clinical staff and providers to resolve coding or documentation discrepancies.
Reconcile payments, post insurance and patient payments, and process refunds or adjustments.
Maintain up-to-date knowledge of billing regulations and payer-specific guidelines.
Handle patient billing inquiries with professionalism and accuracy.
Ensure compliance with HIPAA and company privacy policies.
Prepare weekly and monthly reports related to collections, denials, and billing performance.

Requirements:

Minimum 1 year of experience using AdvancedMD software (required).
2+ years of experience in medical billing, with a focus on denial management.
Strong understanding of CPT, ICD-10, and HCPCS coding.
Knowledge of insurance guidelines, including Medicare, Medicaid, and commercial payers.
Excellent analytical, problem-solving, and communication skills.
Ability to work independently and in a team-oriented environment.
High attention to detail and strong organizational skills.