Medical Biller at SOUTH BOSTON COMMUNITY HEALTH – South Boston, Massachusetts

Job Summary:

The Medical Biller is responsible for the accurate collection, batching, and input of all patient charges, as well as performing timely and thorough follow-up on claims. This role is essential to ensuring efficient and accurate revenue cycle processes.

Representative Duties and Responsibilities:

• Accurately review and post patient charges on an ongoing basis.
• Close all charge batches and time-of-service payments in the billing system daily.
• Submit daily electronic claims and process paper claims as needed.
• Respond promptly and professionally to patient and insurance inquiries via phone and in person.
• Maintain positive and professional relationships with staff across the organization.
• Review and research remittance advices for denied or suspended claims; resubmit as appropriate and prepare documentation for the appeals process.
• Update departmental databases with accurate and timely information; communicate relevant updates to billing personnel as necessary.
• Monitor and work outstanding insurance claims daily; retrieve and process required Explanation of Benefits (EOBs).
• Mail claim rejections, write-offs, and insurance/patient correspondence.
• Process and submit secondary insurance claims.
• Perform other duties as assigned.

* This is a Full-time in office position

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Qualifications:

• High school diploma or equivalent required; college degree preferred.
• Minimum of one year of experience in medical billing preferred.
• COVID-19 vaccination and booster required.