Front Desk Medical Biller

Key Responsibilities

• Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes
• Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines
• Identify and resolve coding discrepancies in collaboration with clinical staff
• Stay current with coding updates, policy changes, and industry standards
• Prepare, submit, and track insurance claims in a timely manner
• Monitor claim status, follow up on unpaid or denied claims, and initiate appeals when necessary
• Verify patient insurance eligibility and benefits prior to billing
• Post payments, adjustments, and reconcile accounts accurately
• Analyze denials and underpayments to identify trends and improve reimbursement
• Maintain accurate billing records and financial documentation
• Work closely with front desk and clinical teams to ensure complete and accurate charge capture
• Aid with audits and compliance reviews as required

Communication & Coordination

• Communicate effectively with insurance carriers, patients, and internal departments
• Respond to billing inquiries professionally and clearly
• Educate patients on insurance coverage, billing statements, and payment responsibilities

Required Competencies, Behaviors & Knowledge

• Strong attention to detail and analytical thinking
• Excellent organizational and time-management skills
• Ability to work independently and meet deadlines
• Proficiency with billing software, EMR systems, and Microsoft Office
• High level of integrity, confidentiality, and ethical conduct
• Calm, professional demeanor when handling billing issues or denials
• Accountability and commitment to accuracy
• Team-oriented and solution-focused approach

Qualifications

• High school diploma or equivalent (required)
• Certification in medical coding (CPC, CCS, or equivalent) preferred
• Previous experience in medical billing and coding preferred

Compensation

$20.00 - $21.00 per hour