virtual medical biller

Job Description

REQUIREMENTS

Proven experience in medical billing with a focus on coding accuracy using CPT, ICD-9, ICD-10, and DRG systems.

Familiarity with medical office operations and the use of EMR/EHR systems for billing purposes.

Strong knowledge of medical terminology, medical records management, and insurance claim procedures.

Prior experience in medical collection efforts to recover unpaid balances efficiently.

Demonstrated ability to work independently in a remote environment while maintaining high accuracy standards.

Excellent organizational skills combined with effective communication abilities.

Previous experience working within healthcare settings that utilize comprehensive medical coding and billing practices is highly desirable. 

RESPONSIBILITIES

Review and interpret medical documentation to ensure accurate coding using CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes.

Prepare and submit electronic or paper insurance claims in accordance with payer guidelines.

Follow up on unpaid or denied claims through medical collection efforts, appealing when necessary to maximize reimbursements.

Maintain detailed and organized medical records, ensuring all billing information aligns with patient records and provider documentation.

Utilize Electronic Medical Record (EMR) and Electronic Health Record (EHR) eclinical works to input data, AI REM of eclinical works, track claim statuses, and update patient accounts.

Need to know ASC facility billing / anesthesia billing

Stay current with industry regulations, including updates to DRG (Diagnosis-Related Group) classifications and coding standards.

Communicate effectively with insurance companies, healthcare providers, and patients to resolve billing issues promptly.

Ensure compliance with healthcare privacy laws and billing regulations at all times.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

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