Medical Biller

$35,360 - $45,760/Yr

Clear Rcm - McKinney, TX

Full-time - Entry Level

Onsite - McKinney, TX

Insurance Carriers and Related Activities

About the position

The Medical Biller position at Clear RCM, LLC involves managing the revenue cycle for medical billing, ensuring accurate claims submission, and following up on non-payments. The role requires strong organizational skills, attention to detail, and effective communication to provide excellent customer service. The ideal candidate will have at least one year of experience in medical billing and be familiar with various billing software.

Responsibilities

• Review EOB's and ERA's to determine non-payment reasons.
• Review initial claims for appropriate diagnosis and procedure code linking.
• Apply appropriate modifiers to claims for proper adjudication.
• Ensure daily accomplishments work towards company goals for claims submission and follow-up.
• Manage Claims queue daily; perform claims scrub/QA for accuracy.
• Conduct billing utilizing efficient resources for timely payment of open claims.
• Identify patterns of non-compliance by client office staff.
• Review/Scrub Charge Ticket/Superbill for accuracy and complete claims per payer guidelines.
• Submit secondary billing in a timely manner with appropriate documentation.
• Research payer websites for updates and share accordingly.
• Work within specified deadlines and stressful situations.
• Perform other tasks or special projects as assigned.

Requirements

• High School diploma or GED required.
• Minimum of 1 year experience in medical billing with knowledge of managed care, commercial insurance, and Medicare & Medicaid reimbursement.
• Excellent interpersonal, communication, and organizational skills required.
• Ability to prioritize, problem solve, and multitask is required.

Nice-to-haves

• Experience with Aprima, Medisoft, E-clinical Works, or NextGen is a major plus.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance