Auditor/ biller

Job Overview

We are seeking a detail-oriented and motivated Auditor/Biller to join our healthcare finance team. In this vital role, you will ensure the accuracy and completeness of medical billing processes, verify claims, and facilitate timely reimbursement from insurance providers. Your expertise will help streamline billing workflows, enhance revenue cycle management, and improve patient account accuracy. This position offers an exciting opportunity to contribute to efficient healthcare claims management while working with cutting-edge EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems.

Duties

• Review medical records and documentation to ensure compliance with coding standards such as ICD-9, ICD-10, CPT, and DRG classifications.
• Verify the accuracy of billing codes and medical claims before submission to insurance companies or patients.
• Prepare and submit healthcare claims using billing software and EMR/EHR systems, ensuring adherence to payer guidelines.
• Conduct thorough medical collection efforts by following up on unpaid or denied claims to optimize revenue recovery.
• Cross-check patient information, insurance details, and medical records for consistency and accuracy.
• Collaborate with healthcare providers to clarify documentation discrepancies or coding issues.
• Maintain detailed records of billing activities, claim submissions, adjustments, and collections in compliance with healthcare regulations.

Skills

• Strong knowledge of medical coding including ICD-9, ICD-10, CPT coding, and DRG classifications.
• Proficiency in billing software, EMR/EHR systems, and Microsoft Office applications for documentation and reporting purposes.
• Experience in healthcare claims management and medical collection processes.
• Excellent understanding of health insurance policies, medical terminology, and medical records management.
• Ability to interpret complex medical documentation accurately for billing purposes.
• Exceptional customer service skills to communicate effectively with patients, providers, and insurance representatives.
• Detail-oriented with strong organizational skills to handle multiple claims efficiently while maintaining compliance standards.

Join our team as an Auditor/Biller to play a crucial role in ensuring accurate billing practices that support the financial health of our organization while providing excellent service to our patients and partners!

Pay: $19.25 per hour

Expected hours: 40.0 per week

Work Location: In person