Medical Biller / Accounts Receivable Specialist

You will be responsible for handling all aspects of the revenue cycle, from claim submission to payment collection. Your role includes verifying patient insurance, processing claims, following up on denials, and ensuring timely reimbursements from insurance companies. You will work closely with the insurance providers, healthcare professionals, and patients to streamline billing and accounts receivable processes.

Key Responsibilities:

Registering patients and verifying insurance coverage.
Collecting and processing patient information required for claim submission.
Knowledge of CPT and ICD-10 coding systems, especially related to injury cases.
Submitting claims electronically (CMS-1500 & UB-04 billing forms) and following up on denials.
Reviewing and appealing denied claims to maximize reimbursements.
Posting payments, contractual adjustments, and handling collections on unpaid accounts.
Managing AR reports and ensuring outstanding claims are followed up promptly.
Answering patient billing inquiries and resolving discrepancies.
Contacting insurance companies for claim status and resolving payment issues.
Obtaining prior authorizations for necessary procedures and treatments.
Ensuring compliance with HIPAA regulations.
Assisting with patient check-in, check-out, and front desk billing tasks if needed.
Identifying process improvements and engaging in special billing-related projects.

Preferred Experience & Skills:

Prior experience in Injury-based practices (Personal Injury, Workers' Compensation, Auto Accident Cases).
Strong knowledge of Worker Compensation Insurances.
Understanding of Medicare & PIP (Personal Injury Protection) billing and reimbursement policies.
Familiarity with AR workflows, claim submission, and revenue cycle management.
Experience with ChiroTouch & Tebra software.
Excellent communication skills and ability to negotiate claim resolutions with payers.
Strong problem-solving skills and attention to detail.
Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
Ability to multitask and work efficiently under pressure.

Requirements:

Personal laptop/computer with a stable internet connection (minimum 50 Mbps).
A dedicated workspace free from distractions.
Must have at least 2 years of experience in medical billing & AR.
Strong English communication skills (verbal & written).
Ability to work independently and meet deadlines.

Note: Candidates meeting the experience criteria and having strong communication skills are encouraged to apply.