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Medical Biller


You will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, these include but are not limited to the following. Other functions may be assigned, and management retains the right to add or change the duties at any time. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions:

  • Knowledge of coding regulations, CPT, ICD-10-CM, and HCPCS

  • CCI edits, LMRP, computer knowledge (Windows Based), and must be able to communicate written and orally with physicians

  • The ability to work independently as well as on a team

  • Excellent organization and problem-solving skills and the ability to change and be flexible with work priorities

  • Strong attention to detail

  • Obtain, review, and input insurance authorizations and referrals prior to patient services

  • Ensure all claims are submitted

  • Verify completeness and accuracy of all claims prior to submission

  • Coordinate referral appointments

  • Monitor and track patient authorizations

  • Respond to inquiries from insurance providers and patients

  • Data entry of patient demographics

  • Ability to appropriately assign modifiers

  • Follow up on late or missed payment notices

  • Researching each diagnosis for test ordered by physician


Education and Experience:  Bachelor’s degree in business, health care administration, accounting, or relevant field. A minimum of 2 years’ experience as a medical biller or similar role.

Computer Skills:  Basic phone, computer, electron skills (email, Microsoft Word, Microsoft Excel, Internet, Fax, Copier, etc.) Solid understanding of billing software and electronic medical records.

Certifications and/or Licenses: Certification of coding will be required within 1 year, which includes RHIA, RHIT, CCA, CCS, CPC, COC, CIC, CPC-P, CEMC, CEDC

Other Requirements:

  • Assigns codes for diagnosis, modifiers, and/or CPT codes to designated accounts and maintaining 90% quality standards.

  • Codes/enters charts within an appropriate number of charts per hour.

  • Coordinates completion of the A/R report and/or is compliant with late charges.

  • Remain informed about coding issues to comply with federal regulations.

  • Responds promptly to internal and external customer coding requests. Responds promptly to Business Office requests to code or review coded accounts for accuracy. Works closely with other departments to ensure all data captured is accurate (ie Provider Clinics or Outpatient Registration).

  • Team-oriented with strong interpersonal skills. Will help cover other areas as assigned.

  • Ability to code or charge entry ancillary designated charge entry clinics.

  • Assumes all other duties and responsibilities as necessary.

  • Strong interpersonal skills

  • Excellent communication and listening skills

  • Detail oriented

  • Strong ability to manage time and prioritize tasks

  • Knowledge of state and federal statuses regarding patient confidentiality laws

  • Possess knowledge of billing software

  • General knowledge of ICD-9, ICD-10, and CPT codes


  • Prolonged sitting at a desk and working on a computer

  • Frequent use of fine motor skills to handle or feel objects, tools, or controls and ability to reach with hands and arms on a regular basis

  • Intermittently required to lift objects weighing up to 20 pounds

  • Consistently required to talk, hear, and/or speak

  • Specific vision abilities required by this job include close vision and the ability to adjust focus along with the ability to read, analyze, and interpret procedures and/or instructions

  • Some assignments may require ability to have or arrange for dependable means of transportation to other clinic locations, meetings, or community events


Work is performed primarily in office, individual owned and insured vehicles, and outdoor settings, in all weather conditions, including temperature extremes, during day and night shifts. Work is often performed in emergency and stressful situations. The noise level in the work environment is usually quiet in office settings and moderate in other situations.

Medical Biller: CV
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