Biller & Coder- Podiatry

Clarkston Medical Group•Clarkston, MI

44d•Hybrid

About The Position

The Podiatry Biller is responsible for accurately billing and coding podiatric medical services, submitting insurance claims, and managing patient accounts. This role ensures compliance with insurance and regulatory requirements while maintaining timely reimbursement and clear patient communication.

Requirements

High school diploma or equivalent required; certificate or degree in medical billing/coding preferred.
Minimum 1–2 years of medical billing experience; podiatry or specialty billing experience needed.
Knowledge of CPT and ICD-10 coding, particularly for podiatry-related services.
Familiarity with Medicare, Medicaid, and commercial payer podiatry guidelines.
Proficiency with billing software, clearinghouses, and EHR systems.
Strong attention to detail and organizational skills.
Excellent communication skills for interacting with patients, providers, and insurance representatives.
Ability to work independently and as part of a team in a fast-paced practice setting.

Responsibilities

Review provider documentation and accurately assign CPT, ICD-10, and HCPCS codes for podiatry services.
Verify patient insurance eligibility and podiatry-specific coverage (including routine vs. medically necessary foot care).
Prepare, submit, and track electronic and paper insurance claims.
Post payments, adjustments, and denials from insurance companies and patients.
Follow up on unpaid or denied claims, including appeals and resubmissions.
Generate and mail patient statements; work with patients regarding outstanding balances or payment plans.
Stay current with podiatry billing rules, including Medicare, Medicaid, and commercial payer requirements.
Maintain accurate patient financial records in compliance with HIPAA.
Provide support to providers and staff regarding coding and billing questions.
Assist in month-end reporting, accounts receivable tracking, and revenue cycle improvement.