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About the role
- Prepare, review, and submit medical claims to payers (Medicaid, Medicare, commercial insurance)
- Verify accuracy of coding (CPT, ICD-10) prior to claim submission; collaborate with clinical staff for corrections
- Monitor claim status, follow up on denials, and complete resubmissions or appeals as needed
- Post payments, adjustments, and remittances into the billing system
- Reconcile billing records, resolve discrepancies, and ensure accurate documentation
- Verify client insurance coverage and eligibility as needed
- Maintain organized, compliant billing files and adhere to HIPAA and payer regulations
- Communicate professionally with payers, staff, and clients regarding billing matters
- Assist with month-end revenue cycle reporting as assigned
- Support the Billing Manager with additional tasks as required
Requirements
- High school diploma or equivalent
- Minimum 1–2 years of medical billing and coding experience
- Proficiency in CPT and ICD-10 coding
- Experience with EHR and billing software
- Knowledge of Medicaid/Medicare and commercial insurance billing processes
- Strong attention to detail and accuracy
- Ability to work independently and maintain confidentiality
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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