Medical Biller (Denials Management)

Job Summary

To support a growing healthcare practice, the full-time Medical Biller (Denials Management) will manage the posting of medical charges, payments, and journal entries, while verifying insurance information and processing claims in a hybrid work environment.

Key responsibilities

• Post medical charges and payments to patient accounts accurately and timely
• Research and appeal denied claims, following up on unpaid claims within the standard billing cycle
• Verify patient registration data and insurance filing information, ensuring compliance with HIPAA regulations

Required qualifications

• Experience in medical billing and denials management
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Proficiency in using billing software for electronic and paper claim processing
• Ability to handle protected health information in compliance with HIPAA
• Credentialing knowledge is a plus