Medical Biller - Remote, FL-based

About the Role: We are seeking a detail-oriented and highly organized Medical Biller to join our growing team. In this role, you will be responsible for managing the full medical billing lifecycle: from eligibility verification and claim submission to payment posting and follow-up, while providing excellent service to both patients and internal stakeholders. This is a great opportunity for someone who thrives in a collaborative, fast-paced environment and takes pride in accuracy, compliance, and patient advocacy. Key Responsibilities:

• Verify patient insurance eligibility and benefits
• Review medical coding prior to claim submission to ensure accuracy and compliance
• Prepare, review, and submit medical claims using billing software, including both electronic and paper claims
• Review patient invoices for accuracy
• Follow up on unpaid or underpaid claims within designated timeframes
• Review insurance payments for accuracy and compliance with payer contracts
• Contact insurance companies to resolve payment discrepancies when needed
• Identify and submit claims to secondary and tertiary insurance carriers
• Review accounts for insurance and patient follow-up
• Research, appeal, and resolve denied or rejected claims in a timely manner
• Respond to patient and insurance inquiries related to assigned accounts via phone
• Set up patient payment plans and manage collection accounts as appropriate
• Monitor assigned accounts to ensure appropriate and timely reimbursement
• Communicate effectively with clients, internal support staff, and account managers as needed
• Maintain strict patient confidentiality in accordance with HIPAA regulations

Minimum Qualifications:

• High school diploma or equivalent
• Experience with medical billing and claims processing
• Competency in outpatient and inpatient medical coding
• Working knowledge of CPT and ICD-10 coding
• Familiarity with insurance guidelines, including HMO/PPO plans, Medicare (MIPS/MACRA), Medicaid, and other payer requirements
• Proficiency with computer systems and electronic medical billing software
• Strong verbal and written communication skills
• Ability to multitask, prioritize work, and manage time effectively
• Strong problem-solving skills and attention to detail
• Ability to work collaboratively in a team environment
• Knowledge of medical terminology commonly used in medical billing
• Commitment to maintaining patient confidentiality in compliance with HIPAA

Preferred Qualifications:

• Experience with E-Clinical and Tebra
• Prior experience communicating directly with insurance payers to resolve discrepancies
• Customer service experience working directly with patients and families
• Experience setting up patient payment plans and managing collections
• Demonstrated ability to research, appeal, and resolve denied or rejected claims
• Experience working in a remote or fast-paced healthcare environment
• Commitment to continuing education and staying current with billing and coding updates

Job Type: Full-time Benefits:

• Flexible schedule
• Paid time off
• Health Insurance
• 401K Matching

Schedule:

• Monday to Friday

Work Location: Remote