Medical Insurance Biller

Sisters of Mercy Urgent Care DBA Mercy Urgent Care•Asheville, NC

About The Position

Contribute to Western North Carolina’s Healthcare Heritage Join the lineage of healthcare excellence established by the Sisters of Mercy since 1900. At Mercy Urgent Care, we’re continuously evolving to meet the needs of our community. Here’s your chance to be part of this enduring legacy. Role Overview: Medical Insurance Biller This position is responsible for submitting medical claims, verifying insurance, following up on unpaid claims, and managing patient accounts to ensure timely payment. Key duties include accurately coding diagnoses and procedures, processing payments, handling denials and appeals, and communicating with patients and insurance companies. This role requires strong attention to detail and knowledge of medical billing software and regulations.

Requirements

High school diploma or equivalent.
1-3 years of experience in medical billing or insurance claims processing.
Proficiency with medical billing software and electronic health record (EHR) systems.
Strong knowledge of medical coding systems, such as ICD-10 and CPT codes.
Excellent communication and customer service skills for interacting with patients and insurance companies.
Critical thinking and problem-solving abilities to handle complex claims and denials.
Ability to work independently and as part of a team in a fast-paced environment.

Nice To Haves

Certification in Medical Billing and Coding (e.g. CPC, CMRS, CPB) is a plus.

Responsibilities

Claim submission: Prepare and submit insurance claims to various payers, including private insurance, government programs, corporate accounts, and special programs.
Referrals: Receive and review referrals from providers, adjusters, employers, or case managers; and ensure all referrals comply with state workers’ compensation laws and carrier guidelines, if applicable.
Insurance verification: Verify patient insurance coverage and eligibility before or during the billing process.
Payment and collections: Process patient payments, handle payment arrangements for outstanding balances, and manage medical collections.
Denial and appeal management: Follow up on denied or unpaid claims, research reasons for denial, and submit appeals to insurance companies with appropriate documentation.
Record maintenance: Maintain accurate and up-to-date billing records and patient accounts, often using an EMR/EHR [https://www.google.com/search?q=EMR%2FEHR&rlz=1C1GCEA_enUS1121US1122&oq=Urgent+Care+Biller+job+description&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRiPAtIBCjE1MjgzajBqMTWoAgiwAgHxBawbWleTPHkM&sourceid=chrome&ie=UTF-8&mstk=AUtExfAmvxvDBW2bzqNmxueykFpCMGMHB5VQrKspBgzcVco6GaV8If06tzsI-A-J36eCS_FHHo0cWqsfY-jfeBrIqEa_oRU0QG4Upsa6BshhE2UbkE8-AxzUwuOISTu7gsRMJQg&csui=3&ved=2ahUKEwit_8HpvpWQAxU638kDHXsyJ3AQgK4QegQIBBAF] system.
Patient communication: Answer patient inquiries about bills, explain statements, and help resolve billing-related complaints.
Collaboration: Work with healthcare providers to resolve any discrepancies in billing or coding.
Knowledge and compliance: Stay updated on changes in medical billing regulations, coding practices (such as ICD-10 [https://www.google.com/search?q=ICD-10&rlz=1C1GCEA_enUS1121US1122&oq=Urgent+Care+Biller+job+description&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRiPAtIBCjE1MjgzajBqMTWoAgiwAgHxBawbWleTPHkM&sourceid=chrome&ie=UTF-8&mstk=AUtExfAmvxvDBW2bzqNmxueykFpCMGMHB5VQrKspBgzcVco6GaV8If06tzsI-A-J36eCS_FHHo0cWqsfY-jfeBrIqEa_oRU0QG4Upsa6BshhE2UbkE8-AxzUwuOISTu7gsRMJQg&csui=3&ved=2ahUKEwit_8HpvpWQAxU638kDHXsyJ3AQgK4QegQIBBAJ] and CPT codes [https://www.google.com/search?q=CPT+codes&rlz=1C1GCEA_enUS1121US1122&oq=Urgent+Care+Biller+job+description&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRiPAtIBCjE1MjgzajBqMTWoAgiwAgHxBawbWleTPHkM&sourceid=chrome&ie=UTF-8&mstk=AUtExfAmvxvDBW2bzqNmxueykFpCMGMHB5VQrKspBgzcVco6GaV8If06tzsI-A-J36eCS_FHHo0cWqsfY-jfeBrIqEa_oRU0QG4Upsa6BshhE2UbkE8-AxzUwuOISTu7gsRMJQg&csui=3&ved=2ahUKEwit_8HpvpWQAxU638kDHXsyJ3AQgK4QegQIBBAK]), and insurance policies, ensuring compliance with regulations like HIPAA [https://www.google.com/search?q=HIPAA&rlz=1C1GCEA_enUS1121US1122&oq=Urgent+Care+Biller+job+description&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRigATIHCAIQIRigATIHCAMQIRigATIHCAQQIRigATIHCAUQIRiPAtIBCjE1MjgzajBqMTWoAgiwAgHxBawbWleTPHkM&sourceid=chrome&ie=UTF-8&mstk=AUtExfAmvxvDBW2bzqNmxueykFpCMGMHB5VQrKspBgzcVco6GaV8If06tzsI-A-J36eCS_FHHo0cWqsfY-jfeBrIqEa_oRU0QG4Upsa6BshhE2UbkE8-AxzUwuOISTu7gsRMJQg&csui=3&ved=2ahUKEwit_8HpvpWQAxU638kDHXsyJ3AQgK4QegQIBBAL], payer contracts, federal/state regulations, and internal guidelines.
Additional responsibilities: Perform other related duties as assigned to support the overall efficiency and success of the billing department and the organization. Flexibility and a willingness to adapt to changing priorities are essential.