Medical Biller

Essential Duties and Responsibilities

• Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing guidelines
• Apply correct CPT, HCPCS, ICD-10, and revenue codes, including FQHC-specific PPS and wrap-around billing requirements
• Verify patient insurance eligibility and benefits prior to billing
• Post payments, adjustments, and denials accurately in the practice management system
• Research and resolve claim rejections, denials, and underpayments in a timely manner
• Process patient statements and respond to billing inquiries with professionalism and confidentiality
• Maintain compliance with HRSA, CMS, Medicaid, and payer regulations
• Cook up with clinical staff, front desk, and coding team to resolve documentation or billing discrepancies
• Maintain accurate billing records and documentation for audits and reporting
• Absorb assistance with month-end closing and revenue reporting as needed

Education & Experience

• High school diploma or equivalent; Associate degree in healthcare administration or related field (preferred) and Certification such as CPB, CPC (preferred)
• Minimum 3-5 years of medical code billing and administrative experience
• knowledge of medical terminology
• eClinical Works preferred
• Medical Billing/Coding certified a plus.
• Prior experience in an FQHC or community health center strongly preferred

Knowledge & Skills

• Strong Knowledge with Medicaid, Medicare, and Managed Care plan billing and with insurance provider portals, clearinghouses, and claims tracking tools
• Proficiency with EHR and practice management systems
• Ability to meet deadlines and manage multiple tasks
• Team oriented with the ability to work independently
• Strong written and verbal communication skills

Pay

Hourly Rate: $27 per hour starting rate/based on experience

Benefits

Benefits Overview: We offer attractive compensation with comprehensive benefits including: Medical, Dental, Vision, 401k Retirement Plan with discretionary Match, Free Life Insurance and Long-Term Disability, Transportation Plan, Generous Paid Vacations and Holidays.