Medical Biller
20 days ago
Tempe
Job DescriptionLocation: [Insert Location]Job Type: Full-TimeAbout 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: • 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., • 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., • 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., • 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., • 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., • 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.