Experienced Medical Biller

About the role

The Experienced Medical Biller (RCM2) is responsible for managing assigned billing workqueues, resolving claims efficiently, and ensuring timely and accurate reimbursement. This role is ideal for someone who has mastered core billing workflows and can work with minimal supervision.

Responsibilities

• Claim Management & Payment Posting
• Prepare, review, and submit claims accurately and timely
• Post and reconcile Electronic Remittance Advice (ERA) and insurance payments
• Identify underpayments, incorrect adjustments, and discrepancies
• Initiate appropriate follow-up on unpaid or partially paid claims
• Denials & Appeals
• Research and resolve routine claim denials and rejections
• Submit corrected claims and formal appeals when necessary
• Accounts Receivable Management
• Accurately document all follow-up actions in the billing system
• Identify recurring payer trends and escalate systemic issues
• Manage assigned A/R workqueues to ensure timely follow-up
• Prioritize claims based on aging, payer guidelines, and balances
• Maintain clear and compliant documentation of all actions
• Insurance & Patient Support
• Verify eligibility and benefits as needed
• Respond professionally to patient billing inquiries
• Collaborate with front office and clinical teams to resolve billing discrepancies

Qualifications

• High school diploma or equivalent
• Minimum 1–2 years of medical billing experience
• Strong knowledge of insurance terminology and billing workflows
• Ability to work independently with accuracy and accountability
• Excellent attention to detail and organizational skills
• Clear written and verbal communication skills

Preferred:

• Dermatology billing experience
• Experience with Modernizing Medicine (EMA) Billing
• Coding certification (CPC, CPB, etc.)

Benefits

• Competitive pay based on experience and performance
• Comprehensive benefits package (health, dental, vision, 401k, PTO)
• Monday–Friday schedule (no weekends)
• Stable, physician-led organization
• Supportive and collaborative team culture
• Career growth opportunities within Revenue Cycle Management