[Hiring] Medical Biller @MediClaim Pros

Role Description

MediClaim Pros is seeking a detail oriented Medical Biller to manage the full lifecycle of insurance claims for our clients. This role is responsible for preparing, submitting, and following up on claims to ensure accurate and timely reimbursement.

• Prepare and submit accurate medical claims to insurance companies using billing software and clearinghouses.
• Review patient information, treatment documentation, and coding to ensure claim accuracy and completeness.
• Monitor claim status and follow up with insurance payers to resolve unpaid or denied claims.
• Perform denial management and resubmit corrected claims in a timely manner.
• Post payments, adjustments, and reconcile accounts receivable balances.
• Verify insurance eligibility and benefits prior to claim submission when required.
• Maintain compliance with HIPAA and payer specific billing guidelines.
• Communicate with internal teams to resolve discrepancies and improve billing workflows.

Qualifications

• High school diploma or equivalent required, associate degree in healthcare administration or related field preferred.
• Minimum 2 years of experience in medical billing or revenue cycle management.
• Familiarity with behavioral health or substance use disorder billing is preferred.
• Knowledge of CPT, ICD coding basics and insurance claim processes.
• Experience using electronic health records, billing software, and payer portals.
• Proficiency with standard office tools including Microsoft Office and secure cloud based platforms.
• Strong attention to detail and ability to manage multiple tasks efficiently.
• Reliable high speed internet connection and dedicated workspace for remote work.