Physician Biller - Central Billing Office - Full-time

Frederick Health • Frederick, MD

22h

About The Position

The Physician Biller supports Frederick Health’s mission, vision, core values, customer service philosophy, and Compliance Program, including adherence to regulatory requirements and Standards of Behavior. The role ensures patient charges and payments are accurate, insurance authorization is obtained, accounts are submitted on time, and follow-up is completed to secure payment from third-party payers or patients. The Physician Biller maintains accuracy while handling high volumes and varying payer filing requirements and prioritizes work to maximize efficiency.

This is a full-time, dayshift position scheduled from 8:00 a.m. to 4:30 p.m. It reports to the Manager, Physician PFS. The position is classified as sedentary to light work, primarily sitting, with occasional walking or standing and infrequent lifting of up to 15 pounds. The role has no exposure to blood or body fluids and does not require patient contact.

Requirements

• High school diploma or GED.
• At least two years of prior physician billing experience, including demonstrated working knowledge of professional fee billing transactions and regulations, claims, insurance carriers, rejection and denial codes, error correction and reposting, and contractual adjustments.
• Knowledge of medical terminology, anatomy and physiology, pharmacology, and disease processes.
• Demonstrated competency with medical procedural coding (CPT/ICD-10).
• Demonstrated competence with patient or customer information systems.
• Intermediate proficiency and accuracy using MS Word, Excel, PowerPoint, Access, and Outlook.
• Excellent verbal and written communication skills.
• Ability to work in a fast-paced environment.
• Strong organizational skills and ability to prioritize and manage multiple tasks.
• Ability to communicate information and ideas clearly in speech and understand written work-related materials.
• Ability to work professionally with a diverse population.
• Ability to maintain confidentiality.
• Ability to create, compose, and edit written materials.
• Attention to detail and ability to analyze and solve problems.

Nice To Haves

• Associate’s degree in business administration or a related field.
• College coursework in CPT and ICD-10 coding.

Responsibilities

• Correct Availity registration edits.
• Run denial reports daily and correct claims or appeal denials as necessary.
• Attach EOBs to secondary paper claims and submit them for payment.
• Attach referrals to claims and reprocess claims to the carrier.
• Print and send medical records with claims.
• Key Medicaid claims for payment.
• Work vendor logs.
• Handle patient and insurance correspondence.
• Manage credits.
• Correct registration errors.
• Verify insurance eligibility and claim status.
• Review exception batches for distribution.
• Post electronic payments and denials.
• Post $0-balance remittances.
• Enter charges.
• Reconcile daily batches.
• Post daily payment batches.
• Reconcile daily office cash deposits.
• Communicate with patients.
• Ensure patient charges and payments are correct, authorizations are obtained, accounts are submitted promptly, and payer or patient payments are pursued.

Benefits

• Health, dental, and vision insurance, available on the first of the month after 30 days of employment for eligible employees working at least 20 hours per week.
• Employer-paid life insurance, short-term income replacement, and long-term disability for eligible employees.
• Paid time off program for eligible employees.
• 403(b) retirement plan with employer match for eligible employees.
• Free financial planning sessions for all employees.
• Educational assistance program.
• Employer-paid Employee Assistance Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED