Biller

MCR Health, Inc; Bradenton (FL); On-site; USD 38,000 - 52,000; Full time

Job summary

MCR Health, Inc is seeking a skilled Medical Billing professional to support accurate submission of claims and timely reimbursement in Bradenton, FL. You will handle electronic and paper claim processing, ensure data accuracy, and collaborate with payers to resolve discrepancies.

Ideal candidates will have knowledge of CPT/ICD-10 coding, familiarity with payer portals, and experience with EMR systems such as Athena. This role contributes to revenue cycle efficiency in a medical practice setting.

Qualifications

• High School Graduate or GED required.
• Working knowledge of medical terminology.
• Familiarity with CPT and ICD-10 Coding.
• Experience with Managed Care, Government Payers, and Private Payers.
• Familiar with payer websites (Availity, Optum, Navient, Waystar, etc.).
• EMR experience preferred (Athena a plus).

Responsibilities

• Notify the appropriate leader of system errors or problems.
• Directs problem accounts to the appropriate leader.
• Transmits electronic claims daily and confirms transmittals are accepted by all payers.
• Advises operational leader(s) of front desk billing errors.
• Reviews patient bills for accuracy & completeness and obtains any missing information.
• Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
• Follows up on unpaid claims within the standard billing cycle timeframe.
• Checks each insurance payment for accuracy and compliance with contract discounts.
• Calls insurance companies regarding any discrepancy in payments if necessary.
• Identifies and bills secondary or tertiary insurances.

Skills

Medical terminology

Payer knowledge

CPT & ICD-10 coding

EMR experience

Billing software

Education

High School Diploma or GED

Tools

Athena EMR

Payer portals

Job description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and to support our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our company, where you can grow your career and serve with your heart.

Brief Description

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and to support our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our company, where you can grow your career and serve with your heart.

Work Location:

Bradenton, FL

As Part Of This Role, You Will

• Notify the appropriate leader of immediate or pending system errors or system problems
• Directs problem accounts to the appropriate leader
• Transmits electronic claims daily and confirms transmittals are accepted by all payers
• Advises operational leader(s) of front desk staff billing errors.
• Reviews patient bills for accuracy & completeness and obtains any missing information.
• Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
• Follows up on unpaid claims within the standard billing cycle timeframe.
• Checks each insurance payment for accuracy and compliance with contract discounts.
• Calls insurance companies regarding any discrepancy in payments if necessary.
• Identifies and bills secondary or tertiary insurances.

Requirements

• High School Graduate or GED required
• Working knowledge of medical terminology required
• Familiarity with CPT and ICD-10 Coding preferred
• Working knowledge in Managed Care, Government Payers, and Private Payers
• Working knowledge of Payer websites (e.g., Availity, Optum, Navient, Waystar, etc.)
• Electronic medical record (EMR) experience preferred (Athena a plus)

Summary

In a broad scope, the Biller position focuses on the accuracy and completeness of claims for quality documentation reporting and to maximize reimbursement. This role completes tracking and trending of denied claims, errors, and/or other assigned issues to be communicated to the applicable AMA and MCR Revenue Cycle Leader. Lastly, this role serves as a documentation resource for providers and clinical staff.

• MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.