Medical Biller

Power Health • Greenwood Village, CO

8d

About The Position

Power Health Colorado (PHCO) is seeking a highly experienced Medical Biller with strong knowledge of personal injury (PI), workers’ compensation (WC), and commercial insurance billing . This role is critical to maintaining healthy revenue cycle performance and requires someone who is detail-oriented, accountable, and confident managing claims from submission through resolution. The ideal candidate understands the nuances of med-legal billing, payer follow-up, and denial management, and can work collaboratively with case managers, front office, and clinical teams to ensure clean claims and timely reimbursement.

Requirements

• 3+ years of medical billing experience
• Strong knowledge of CPT, ICD-10, HCPCS coding
• Experience with PI and/or workers’ compensation billing
• Proficiency in EHR/PM systems (e.g., eClinicalWorks or similar)
• Strong A/R follow-up and denial resolution skills
• High attention to detail and accuracy
• Professional communication skills

Nice To Haves

• Experience in multi-disciplinary practices (PT, Chiro, PM&R, etc.)
• Familiarity with lien-based billing models
• Certification (CPB, CPC, or similar)
• Performance-driven mindset with measurable productivity standards

Responsibilities

• Submit accurate and timely medical claims (electronic and paper)
• Ensure proper CPT, ICD-10, and modifier usage
• Review documentation to confirm billing compliance
• Manage billing for PI, WC, and commercial insurance cases
• Handle lien-based and med-legal billing workflows when applicable
• Conduct proactive follow-up on unpaid or denied claims
• Identify root causes of denials and implement corrective actions
• Work aging reports and prioritize high-value claims
• Maintain clear documentation of payer communications
• Analyze denials and prepare appeals
• Coordinate with providers and case managers for required documentation
• Track trends and report recurring issues
• Accurately post insurance and patient payments
• Reconcile EOBs and ERAs
• Identify underpayments and escalate when needed
• Work closely with case management and front office to reduce billing errors
• Communicate clearly about missing information or documentation gaps
• Participate in team meetings and performance improvement initiatives
• Maintain HIPAA compliance and confidentiality at all times

Benefits

• Competitive pay based on experience
• Benefits package (if applicable)
• Growth opportunities within PHCO

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed