Medical Biller

Functional Medicine of Idaho•Meridian, ID

About The Position

At Functional Medicine of Idaho (FMI), we are committed to helping people thrive by providing personalized, integrative healthcare that addresses the root causes of health concerns. Our mission is to empower individuals at every stage of life, guiding them toward optimal well-being. We focus on delivering comprehensive, patient-centered care rooted in the latest research and compassionate service. At FMI, we value collaboration, innovation, and empathy, and are dedicated to offering the best functional and integrative medicine in the communities we serve. Join our team and be part of transforming healthcare while making a meaningful impact. We are seeking a highly resilient and organized Billing Specialist with excellent communication skills to join our team. This role plays a key part in the billing process, working closely with patients, providers, and insurance companies to ensure smooth financial operations.

Requirements

High School Diploma (required)
Minumum 1 year of experience in medical billing (preferred)
1 year of experience in collections and patient accounts receivable
Ability to read and interpret Explanation of Benefits (EOBs)
Strong multitasking abilities and attention to detail
Self-starter with the ability to work in a team environment
Flexible and adaptable to changes in processes

Nice To Haves

Strong organizational and communication skills
Ability to manage multiple tasks efficiently
Proficiency in EMR systems and billing software

Responsibilities

Manage billing functions for 20+ providers, ensuring compliance with billing regulations including policies, processes, and procedures using CPT and ICD-10 CM diagnosis codes, and applying appropriate modifiers as needed.
Ensure accurate and timely follow-up and resolution of all accounts receivable, managing A/R to meet and maintain cash collection metrics and goals.
Maximize facility reimbursement by understanding payer contracts and ensuring correct payments are received.
Accurately post payments from insurance and patients, and work on denials from insurance companies.
Review patient accounts to collect outstanding balances.
Communicate effectively with patients regarding insurance, billing, and payment plans.
Handle reimbursement issues for contracted and non-contracted insurance, including HMO, PPO, EPO, POS, Worker’s Compensation, self-pay, and third-party payers.
Explain insurance Explanation of Benefits (EOBs) to patients and ensure they understand their financial responsibilities.