Medical Biller

Triple; India; Hybrid; INR 450,000 - 700,000; Full time

Job summary

Triple seeks an experienced Medical Biller with hands-on expertise in US healthcare provider billing, focusing on charge entry and demographic entry. The role requires entry of medical charges, patient demographics, and insurance details, using practice management systems and EHRs.

Prior provider-side experience in clinics, hospitals, or medical groups is essential. Responsibilities include ensuring data accuracy before billing, resolving discrepancies, applying ICD-10-CM, CPT, HCPCS codes, and

Qualifications

• Hands-on experience in charge entry and demographic entry is mandatory.
• US medical billing experience for provider settings (physician practices, clinics, hospitals).
• Understanding of provider-side billing workflows and patient accounts.
• Familiarity with medical billing software, PM systems, and EHR.
• Knowledge of US billing processes, payer requirements, and insurance procedures.
• Familiarity with ICD-10-CM, CPT, and HCPCS coding.

Responsibilities

• Perform accurate charge entry and demographic entry in billing systems.
• Enter and maintain patient demographics, insurance info, and other details.
• Enter medical charges based on provider documentation and records.
• Review information for completeness before billing.
• Identify missing information and resolve discrepancies.
• Verify charges and patient info are recorded correctly in the system.
• Apply ICD-10-CM, CPT, HCPCS codes for billing accuracy.
• Review insurance payments against payer guidelines.
• Maintain accurate patient accounts and document billing activities in EHR/PM systems.
• Follow US billing procedures and Medicare/Medicaid requirements.
• Research payer rules and updates to support accurate billing.
• Comply with HIPAA regulations and patient confidentiality policies.

Skills

Charge entry

Demographic entry

US healthcare billing

ICD-10-CM CPT HCPCS

Medical terminology

HIPAA compliance

Tools

Practice Management Systems

EHR

Medical billing software

Job description

Medical Biller – Charge Entry & Demographic Entry

About Triple

Triple helps small and medium-sized businesses in North America build efficient remote teams across administration, customer service, accounting, operations, and back-office functions. We focus on our clients, people, and planet while maintaining high standards of quality, professionalism, and operational excellence.

Job Summary

We are looking for an experienced Medical Biller with hands-on experience in US healthcare provider billing, specifically charge entry and demographic (demo) entry. The ideal candidate will have practical experience entering medical charges, maintaining patient demographics, verifying insurance information, and working with medical billing systems or practice management software.

Candidates must have direct experience working on the healthcare provider side, such as a physician’s office, medical practice, clinic, hospital, or medical group. Experience limited to accounts receivable (AR), denial management, payment posting, insurance follow-ups, or medical coding without hands-on charge entry and demographic entry will not meet the core requirements of this role.

Key Responsibilities

• Perform accurate charge entry and demographic (demo) entry in medical billing and practice management systems.
• Enter and maintain patient demographics, insurance information, and other required patient details.
• Enter medical charges based on provider documentation, patient encounters, and billing records.
• Review patient and encounter information for completeness and accuracy before billing.
• Identify missing information, discrepancies, and data entry errors and coordinate their resolution.
• Verify that charges and patient information are accurately recorded in the billing system.
• Apply knowledge of medical terminology and ICD-10-CM, CPT, and HCPCS codes as required for billing accuracy.
• Review insurance payments against contractual terms and applicable payer guidelines.
• Maintain accurate patient accounts and document billing activities in the client’s practice management system or electronic health record (EHR).
• Follow US healthcare billing procedures and applicable Medicare and Medicaid requirements.
• Research payer rules and updates to support accurate billing practices.
• Comply with HIPAA regulations, patient confidentiality requirements, and established policies and procedures.

Required Qualifications

• Hands-on experience in both charge entry and demographic (demo) entry is mandatory.
• Practical experience in US medical billing for healthcare providers, including physician practices, clinics, hospitals, or medical groups.
• Understanding of provider-side medical billing workflows, patient accounts, and encounter documentation.
• Familiarity with medical billing software, practice management systems, and electronic health records (EHR).
• Knowledge of US healthcare billing processes, insurance procedures, and payer requirements.
• Familiarity with ICD-10-CM, CPT, and HCPCS coding systems.
• Understanding of Medicare and state Medicaid billing guidelines.
• Strong attention to detail, data accuracy, and documentation skills.
• Knowledge of HIPAA and patient confidentiality requirements.

Candidates with general revenue cycle management (RCM) experience alone, or experience limited to AR follow-ups, denials, payment posting, or coding without direct charge entry and demographic entry, will not be considered suitable for this role.

Work Schedule

Eastern Time: 6:30 p.m. – 3:30 a.m. IST, 5 days working (Rotational week offs)

Logistical Requirements

• A quiet, well-lit work environment.
• Laptop with a minimum of 8 GB RAM and an Intel i5 8th-generation processor or equivalent.
• 720p webcam and headset.
• Reliable internet connection with a minimum speed of 100 Mbps.
• Smartphone.

Medical Billing, Charge Entry, Demographic Entry, US Healthcare, Provider-Side Medical Billing, Medical Billing Data Entry, Patient Demographics, Patient Registration, Revenue Cycle Management (RCM), Practice Management Systems, Electronic Health Records (EHR), Medical Terminology, ICD-10-CM, CPT Coding, HCPCS, Medicare, Medicaid, HIPAA Compliance, Patient Account Management, Healthcare Data Entry