Medical Biller

The role

The Medical Biller is responsible for timely and accurate billing of medical claims in multiple states. This person will report to the Billing Director and work with the billing and coding team on billing, reimbursement, and insurance follow-up.

What you will do

• Ensure billing and insurance follow-up are achieved within performance standards
• Monitor accounts daily to maximize reimbursement opportunities
• Identify potential billing compliance issues
• Post payments and remittances on a daily basis
• Manage claims including denials, rejections, and follow-up
• Develop and maintain a communication network with payers
• Utilize and navigate required EHR and billing systems
• Meet individual and team goals as assigned by Management
• Record payments from payers and reconcile identified differences
• Identify discrepancies and billing issues

Required qualifications

• Minimum 1-2 years experience in healthcare billing or systems
• Associates degree in healthcare administration, or a related field, or a combination of education and experience
• Knowledge of reimbursement and billing requirements and regulations
• Knowledge of CMS, HIPAA and other governmental regulations, rules and policies as it pertains to billing and collections
• Proficient with various computerized applications and billing software
• Excellent customer relations and communication skills
• Professionalism, confidentiality, and organizational skills
• Ability to work well with limited supervision

Nice to have

• Minimum 1 year experience working with government payers to resolve reimbursement issues
• Proficient with SAMMS, KIPU and/or RPMS

Benefits

• 401(k)
• Medical insurance
• Dental insurance
• Vision insurance
• Open, transparent lines of communication with leadership
• A development-focused environment with autonomy

About the company

Indigenous Pact PBC, Inc. is a certified B-Corporation established in 2017 to create health equity for American Indians and Alaskan Natives. The company helps strengthen the sustainability of Tribes and Tribal Organizations' health, wellness, and long-term care programs.