Biller

Advocare LLC•Millville, NJ

9h•$17 - $17•Onsite

About The Position

This is an in-office position responsible for managing the medical billing process, from claim creation to patient billing and payment tracking. The role requires ensuring accurate coding, timely submission of claims, and effective communication with both insurance companies and patients. Maintaining patient data privacy under HIPAA is crucial, along with reporting on outstanding bills and payments.

Requirements

High school diploma or equivalent is the minimum requirement for entry-level roles.
1 to 2 years of experience in a medical office, clerical role, or customer service setting is highly valued.
Billing/Coder certification or degree
Medical Coding Knowledge: Basic understanding of ICD-10, CPT, and HCPCS codes to read medical records and submit accurate claims.
Software Proficiency: Familiarity with Electronic Health Records (EHR) and medical billing software (such as Epic, eClinicalWorks, or Azalea).
Financial Literacy: Strong math skills for processing payments, calculating copays, and balancing accounts.
HIPAA Compliance: Deep understanding of medical privacy laws to keep patient data secure.
Communication: Clear communication skills to explain complex bills to patients and negotiate with insurance adjusters.

Nice To Haves

Certified Professional Biller (CPB) – Offered by the AAPC.
Certified Medical Reimbursement Specialist (CMRS) – Offered by the AMBA.
Certified Medical Billing Specialist (CMBS) – Offered by the MAB.

Responsibilities

Create Claims: Turn medical information into insurance claims using correct billing codes.
Submit to Insurance: Send claims to insurance companies electronically or by mail.
Bill Patients: Send invoices to patients for copays, deductibles, or leftover balances.
Fix Denied Claims: Investigate and appeal claims that insurance companies reject.
Track Payments: Post incoming payments and update patient account records.
Check patient insurance coverage before appointments.
Talk with insurance agents to check on claim progress.
Set up payment plans for patients.
Keep all patient data private under HIPAA rules.
Reporting for office/update monthly for outstanding bills/payments.