Medical Biller

Department: Medical Billing

Experience: 5 -8 Years

Work Mode: Remote

Shift: 6:00 p.m.to 3:00 a.m,

About the Role

We are looking for an experienced Medical Biller with hands-on expertise in U.S. healthcare billing, insurance claims, and revenue cycle management. The ideal candidate should have strong experience in claim filing, clearinghouse operations, denial management, and insurance follow-ups to ensure accurate billing and timely reimbursements.

Key Responsibilities & Requirements

• Claim Filing: Minimum 35 years of hands-on experience preparing, filing, and submitting U.S. medical insurance claims (CMS-1500) to commercial, Medicare, and Medicaid payers.
• Clearinghouse Experience: Must have worked with clearinghouses to submit claims, monitor rejections, identify errors, and process corrected or resubmitted claims.
• Insurance Follow-ups: Ability to interact with insurance companies, healthcare providers, and patients to resolve billing queries, obtain claim updates, and follow up on outstanding payments. Communication: Good to Excellent.
• Denial Management: Proven track record of minimizing claim denials and billing errors through accurate documentation, timely follow-ups, and effective resolution.
• Healthcare Billing Knowledge: Prior experience in healthcare billing, insurance claims, or medical coding, with a working knowledge of ICD-10, CPT, and HCPCS codes.
• Eligibility & Authorizations: Experience verifying patient eligibility, reviewing insurance benefits, and managing prior authorizations and referrals.
• A/R Management: Ability to investigate unpaid or underpaid claims, submit appeals when required, and ensure timely reimbursements.
• Payment Posting: Familiarity with EOBs/ERAs, payment reconciliation, contractual adjustments, and maintaining accurate patient account balances.
• Compliance: Knowledge of HIPAA regulations, payer-specific billing guidelines, and the importance of maintaining patient confidentiality.
• Ownership & Accuracy: Ability to track claims from submission through payment or resolution, identify recurring denial patterns, and maintain accurate billing records.

Interested Candidates can share your CV to [email removed]