Benefits:

401(k)

Dental insurance

Health insurance

Paid time off

Profit sharing

Vision insurance

Location: [Insert Location]

Job Type: Full-Time

About Us: We are seeking a skilled and detail-oriented Medical Biller with strong expertise in Accounts Receivable (A/R), payment posting, and experience with the EMR system, eClinicalWorks. If you are passionate about accuracy, efficiency, and contributing to the financial health of a medical practice, we encourage you to apply.

Job Summary: The Medical Biller will be responsible for managing the billing and revenue cycle processes for our cardiology office. This includes ensuring accurate claims submission, resolving A/R issues, posting payments, and maintaining compliance with insurance and regulatory requirements. The ideal candidate will have a strong background in medical billing, particularly in cardiology, and hands-on experience with eClinicalWorks.

Key Responsibilities:

Accounts Receivable (A/R) Management:

Monitor and follow up on outstanding claims and denials.

Resolve unpaid or denied claims by identifying errors, correcting claims, and resubmitting them to insurance companies.

Communicate with insurance companies, patients, and providers to resolve billing discrepancies.

Conduct regular A/R reviews and provide reports to management.

Payment Posting:

Accurately post payments from insurance companies and patients.

Reconcile payments with claims and ensure proper allocation of adjustments, write-offs, and refunds.

Identify and resolve discrepancies in payment posting.

Claims Submission:

Prepare and submit clean claims to insurance companies electronically or via paper.

Verify patient insurance eligibility and benefits prior to services being rendered.

Ensure claims are submitted in a timely manner to meet payer deadlines.

EMR (eClinicalWorks) Expertise:

Utilize eClinicalWorks to manage patient accounts, billing, and reporting.

Maintain up-to-date and accurate patient records in the EMR system.

Generate and analyze reports to track billing performance and identify areas for improvement.

Compliance and Documentation:

Ensure compliance with HIPAA, CMS, and other regulatory requirements.

Maintain detailed documentation of billing activities, including correspondence with payers and patients.

Stay updated on changes in coding, billing, and insurance regulations.

Patient Communication:

Respond to patient inquiries regarding billing and insurance in a professional and timely manner.

Assist patients with setting up payment plans or resolving billing issues.

Qualifications:

High school diploma or equivalent (Associate’s degree in Medical Billing or related field preferred).

Minimum of 2-3 years of medical billing experience, preferably in a cardiology or specialty practice.

Strong knowledge of Accounts Receivable (A/R) management and payment posting.

Proficiency in eClinicalWorks EMR system is required.

Familiarity with cardiology-specific coding (e.g., CPT, ICD-10, HCPCS) is a plus.

Excellent understanding of insurance guidelines, including Medicare, Medicaid, and commercial payers.

Strong attention to detail, organizational skills, and ability to meet deadlines.

Exceptional communication and interpersonal skills.

Ability to work independently and as part of a team.

Preferred Skills:

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

Experience with cardiology procedures and terminology.

Knowledge of revenue cycle management best practices.