Job Description
Join our award-winning medical billing team in Plano, TX and enjoy the financial flexibility of weekly pay! We're seeking a detail-oriented Medical Biller to manage revenue cycle operations for our network of healthcare providers. This hybrid role combines remote flexibility with in-office collaboration, offering competitive compensation and rapid advancement opportunities.
Our team processes over 50,000 claims monthly using cutting-edge EHR systems. You'll work directly with physicians, insurance payers, and patients to ensure accurate reimbursement while maintaining HIPAA compliance. We provide comprehensive training on our proprietary billing software and offer quarterly performance bonuses.
Responsibilities
- Process and submit clean claims to insurance payers using Epic/Cerner EHR systems
- Conduct thorough claim audits and resolve denials within 72 hours
- Verify patient eligibility and benefits for commercial/Medicare/Medicaid
- Manage appeals process for rejected claims with 95% success rate target
- Generate monthly revenue reports for practice managers
- Train new billers on compliance protocols (HIPAA, CMS guidelines)
- Collaborate with coding team to ensure accurate CPT/ICD-10 assignment
Qualifications
- 3+ years of medical billing experience with commercial insurance
- Certified Professional Biller (CPB) or CPC credential required
- Expertise in claim scrubbing tools (e.g., Change Healthcare, Availity)
- Advanced knowledge of Medicare Advantage and PPO contracts
- Proven denial management with <5% denial rate
- Experience with RCM metrics (AR aging, days in net)
- Ability to process 100+ claims daily with 98% accuracy
- Proficient in Microsoft Excel for data analysis