Medical Biller- Full Time

$41,600 - $49,920/Yr

TnT Healthcare Billing Solutions - Apple Valley, MN

Full-time - Entry Level

Hybrid - Apple Valley, MN

Professional, Scientific, and Technical Services

About the position

TNT Healthcare Billing Solutions is seeking a dedicated and detail-oriented Medical Biller to manage full-cycle revenue operations for medical clinics throughout the Twin Cities. The role involves end-to-end management of the billing process, ensuring accuracy, compliance, and efficiency in medical billing, coding, insurance claims processing, and revenue cycle management.

Responsibilities

• Review medical documentation and accurately assign appropriate codes using ICD-10, CPT, and HCPCS code sets.
• Ensure coding compliance with industry standards, payer guidelines, and regulatory requirements.
• Verify and update patient demographic and insurance information as necessary.
• Generate accurate and complete claims based on coded information.
• Submit claims electronically or by paper according to payer requirements.
• Monitor and track claim submissions to insurance companies.
• Follow up on unpaid or denied claims, investigating reasons for denials or rejections.
• Take necessary actions to resolve claim issues, including submitting appeals, correcting errors, or resubmitting claims.
• Accurately post payments and adjustments received from insurance companies, patients, and other payers.
• Identify and resolve payment discrepancies, including overpayments, underpayments, and non-payments.
• Communicate with insurance companies to verify coverage, resolve claim issues, and obtain necessary information.
• Interact with patients to address billing inquiries, explain charges, and assist with payment arrangements.
• Maintain accurate and organized records of billing activities, claim status, and payment history.
• Generate reports on billing and reimbursement metrics, identifying trends, issues, and opportunities for improvement.
• Stay updated on industry changes, regulatory guidelines, and insurance policies related to medical billing.

Requirements

• High school diploma or equivalent; additional certification in medical billing or coding is preferred.
• Proven experience as a Medical Biller or in a similar role.
• Strong knowledge of medical billing procedures, coding systems (ICD-10, CPT, HCPCS), and insurance regulations.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Excellent attention to detail, with the ability to accurately review and analyze medical documentation.
• Strong communication skills, both written and verbal, with the ability to interact professionally with insurance companies, providers, and patients.
• Ability to work independently and meet deadlines in a fast-paced environment.
• Problem-solving skills, with the ability to identify and resolve claim-related issues.
• Familiarity with medical terminology and healthcare billing practices.

Nice-to-haves

• Experience with electronic health record (EHR) systems.
• Additional certifications in medical billing or coding.