Medical Biller (Inpatient/Medicare) for Physician Network (Remote)
Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy.
This organization is a regional network of credentialed physicians dedicated to improving the health status of patients and the communities they serve. This role plays a critical part in supporting that mission by ensuring the integrity of their revenue cycle operations.
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Full time - Remote
Direct Hire
Key Responsibilities:
Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services
Ensure compliance with all federal, state, and payer-specific billing regulations
Verify patient insurance coverage, eligibility, and benefits
Review clinical documentation to ensure proper coding and billing accuracy
Identify and resolve claim edits, denials, and rejections in a timely manner
Follow up on unpaid or underpaid claims and work to maximize reimbursement
Collaborate with coding, clinical, and administrative teams to resolve discrepancies
Maintain up-to-date knowledge of Medicare guidelines and billing requirements
Post payments, adjustments, and reconcile accounts as needed
Support audits and provide documentation as required
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Qualifications:
Required Certification (one of the following):
o Certified Professional Coder (CPC)
o Certified Billing and Coding Specialist (CBCS)
o Certified Coding Specialist (CCS)
o ICD-10 Certification
Minimum of 2+ years of medical billing experience, with emphasis on:
o Inpatient billing
o Skilled Nursing Facility (SNF) billing
o Medicare claims processing
Strong understanding of ICD-10, CPT, and HCPCS coding systems
Knowledge of Medicare regulations, reimbursement methodologies, and compliance requirements
Experience with electronic medical records (EMR) and billing systems
High attention to detail and strong analytical/problem-solving skills
Excellent communication and organizational abilities
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