The Medical Biller will be responsible for the timely and accurate submission and follow-up of medical claims, insurance verification and billing-related tasks, accounts receivable follow-up, payment posting, denial management, and appeals.
The ideal candidate will have strong knowledge of medical insurance billing and be comfortable working independently while communicating effectively with clinical and administrative staff.
Wound-care billing experience is highly preferred.
Key Responsibilities
Prepare, review, and submit clean medical claims to insurance companies.
Review claims for accuracy and completeness prior to submission.
Follow up on unpaid, rejected, and denied claims.
Research and resolve claim denials and billing issues.
File and track insurance appeals and reconsiderations.
Work accounts receivable and identify outstanding balances requiring follow-up.
Verify insurance eligibility and benefits when needed.
Review patient accounts for accurate charges, payments, adjustments, and balances.
Post insurance and patient payments accurately.
Monitor aging reports and prioritize accounts based on timely filing and other payer deadlines.
Communicate with insurance companies regarding claim status, payment issues, denials, and appeals.
Maintain accurate documentation of billing follow-up and correspondence.
Identify recurring billing issues and communicate them to management.
Work closely with clinical and front-office staff to resolve missing or incorrect information.
Maintain patient confidentiality and comply with HIPAA regulations.
Assist with Medicare, Medicaid, Medicare Advantage, commercial insurance, and other payer requirements.
Stay current with payer requirements, billing guidelines, and changes affecting wound-care services.
Perform other billing and administrative duties as assigned.
Qualifications
Strong customer service skills
Previous experience with medical coding or billing desired
Strong organization skills
Excellent attention to detail
Numbers & Facts
Location
LUBBOCK, TX
Job Type
Full-time
Skills
Accounts Receivableunmatched
Administrative Skillsunmatched
Billingunmatched
Billing Recordsunmatched
Communication Skillsunmatched
Customer Support/Serviceunmatched
Dental Insuranceunmatched
Detail Orientedunmatched
Establish Prioritiesunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Health Insuranceunmatched
Identify Issuesunmatched
Insuranceunmatched
Insurance Claimsunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Codingunmatched
Medicareunmatched
Organizational Skillsunmatched
Patient Confidentialityunmatched
Payment Postingunmatched
Regulationsunmatched
Time Managementunmatched
Vision Planunmatched
Wound Careunmatched
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