Medical Biller

Aston Carter•Town of Wallkill, NY

1d•$19 - $22•Onsite

About The Position

The Medical Biller is responsible for the accurate and timely submission of professional and technical medical claims. This role plays a key part in ensuring proper reimbursement by researching unpaid or underpaid claims and working closely with insurance carriers, patients, and internal teams. The ideal candidate is detail-oriented, organized, and experienced in healthcare billing operations.

Requirements

1-3+ years of medical billing experience
Strong understanding of healthcare billing processes and regulations
Proficiency in medical billing and insurance systems
Experience working with healthcare software, including eClinicalWorks
Excellent organizational, analytical, and communication skills

Nice To Haves

High School Diploma or equivalent

Responsibilities

Prepare, review, and submit clean medical claims to commercial insurers, Medicare, Medicaid, and other third-party payers via electronic and paper formats
Research, track, and follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement
Communicate directly with insurance carriers to resolve claim rejections, denials, coding issues, and payment discrepancies
Review patient accounts for accuracy and completeness; obtain missing or corrected demographic, insurance, or clinical information as needed
Correct, resubmit, and appeal claims in compliance with payer guidelines and billing regulations
Respond to inquiries from patients, insurance companies, and internal staff regarding billing status, coverage, and payment issues
Address patient billing concerns in a professional and customer-focused manner
Generate and distribute patient statements; explain balances, insurance payments, and patient responsibility
Assess patient financial situations and assist with payment plan arrangements when appropriate
Monitor delinquent accounts, document follow-up activity, and escalate accounts for collections as needed
Prepare documentation and recommendations for accounts assigned to collection agencies
Post and reconcile insurance and patient payments; prepare daily deposit records
Maintain accurate billing records and ensure compliance with HIPAA and confidentiality standards
Perform routine system maintenance tasks, including daily data backups
Participate in ongoing training, educational activities, and monthly staff meetings
Complete all duties in accordance with company policies and procedures
Perform additional related duties as assigned