Medical Biller

TriasMD•Newport Beach, CA

3d•$23 - $35•Hybrid

About The Position

TriasMD, the parent company of DISC Surgery Centers, is seeking an experienced Medical Biller to join our Revenue Cycle team. This is a hybrid position and should be able to be on-site at our Newport Beach, CA office when needed. This role is responsible for timely and accurate facility billing for personal injury (PI) cases across our seven ambulatory surgery centers. This role will oversee the end-to-end billing process, from coding completion to claim packet submission, payment posting, and comprehensive account documentation. This position will work closely with coding teams, surgery center staff, lien vendors and attorneys, to resolve billing and documentation issues and support timely reimbursement.

Requirements

3 years of healthcare billing or revenue cycle experience
Strong knowledge of healthcare billing and revenue cycle workflows
Familiarity with personal injury, lien billing, and claim packet preparation
Strong knowledge of CPT and ICD-10 codes, account reconciliation, payment documentation and posting
Ability to research and resolve complex billing and documentation discrepancies
Strong communication skills, with the ability to speak professionally with attorneys, lien vendors and other external partners
Attention to detail and ability to manage multiple accounts independently
Proficiency in Microsoft Office products

Nice To Haves

Experience with attorney-related claims or reimbursement models.
ASC, PI or lien billing experience
Associate or bachelor’s degree
Relevant revenue cycle certification such as: Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR)

Responsibilities

Enter and validate charges in EMR system and generate accurate claims
Prepare and submit complete PI lien claim packets within required timelines.
Identify and correct billing, documentation, and account discrepancies.
Review and resolve rejected or returned claims and lien packets.
Communicate with lien vendors, attorneys, and external partners regarding billing and account inquiries.
Post PI payments and approved adjustments accurately in the EMR system
Review EOBs and payment documentation to identify reimbursement discrepancies.
Maintain accurate account notes, submission records, communications, and payment documentation.
Collaborate with internal team members and Revenue Cycle leadership to resolve issues and improve billing processes
Perform other duties as assigned.