Job Description
Are you a detail-oriented professional with a passion for healthcare administration? MediCare Solutions is seeking a highly skilled Medical Biller to join our dynamic team in Madison, WI. We pride ourselves on providing exceptional patient care through efficient revenue cycle management. In this role, you will play a critical part in ensuring our healthcare providers are reimbursed accurately and timely.
Why Join Us?
- Competitive salary and comprehensive benefits package.
- Opportunities for professional development and career advancement.
- A collaborative and supportive work environment in the heart of Madison.
We are looking for a candidate who excels in a fast-paced setting and possesses a strong understanding of medical billing cycles and insurance protocols.
Responsibilities
- Verify and process medical insurance claims (CMS-1500, UB-04) accurately and timely to minimize denials.
- Follow up on unpaid claims and resolve denials through effective appeals and resubmission processes.
- Manage patient billing inquiries, explain statements, and collect outstanding balances.
- Ensure strict compliance with HIPAA regulations, payer guidelines, and billing codes (ICD-10, CPT).
- Utilize EHR systems and billing software to maintain accurate financial records and patient data.
- Reconcile accounts receivable and work with the finance team to optimize cash flow.
Qualifications
- High School Diploma or GED required; Associate degree in Healthcare Administration or Medical Billing preferred.
- 1-3 years of direct experience in medical billing, claims processing, or a related field.
- Proficiency with medical billing software (e.g., Epic, Cerner, AthenaHealth) and Microsoft Office Suite.
- Strong working knowledge of insurance verification, reimbursement methodologies, and coding standards.
- Excellent attention to detail and organizational skills.
- Strong communication skills, both written and verbal, to interact with patients and insurance carriers.