Job Description
Job Description
Job Summary: We are seeking a highly skilled and experienced Medical Biller who must have experience in a variety of specialties and recent/current experience in Athena Health. The ideal candidate must have a minimum of 3 years of remote medical billing experience and be proficient in handling all aspects of medical claims processing, insurance verification, and reimbursement optimization.
Key Responsibilities:
• Prepare and submit medical claims to insurance companies, Medicare, and Medicaid.
• Verify patient insurance coverage and eligibility.
• Accurately apply CPT, ICD-10, and HCPCS codes specific to wound care and other medical specialties.
• Follow up on unpaid or denied claims and resolve billing discrepancies.
• Post payments, denials, and adjustments in the billing system.
• Ensure compliance with HIPAA regulations and industry billing standards.
• Collaborate with healthcare providers and insurance companies to optimize reimbursement.
• Stay up to date on billing policies, coding changes, and insurance regulations.
Qualifications & Skills:
• Education: High school diploma or equivalent (required); associate’s degree or certification in medical billing/coding (required).
Experience:
• Minimum of 3 years of remote medical billing experience.
• Proficiency in EHR and medical billing software, including Athena Health, Tebra, Waystar, and eClinicalWorks (ECW).
• Strong understanding of insurance guidelines, coding systems (CPT, ICD-10, HCPCS), and claim appeal processes.
• Soft Skills: Excellent communication, attention to detail, problem-solving, and ability to work independently in a remote environment.
Benefits:
• Paid time off (PTO)
• Professional development and training opportunities