Hospital Medical Biller: Claims, Denials & Reimbursements

Prime Healthcare; Weslaco (TX); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Job summary

Prime Healthcare in Weslaco, TX is seeking a Medical Biller to manage patient billing and insurance claims in the Physician Group or hospital setting. You will ensure accurate coding, timely reimbursements, and clear communication with patients and insurers.

This full-time daytime role focuses on coding accuracy, claim follow-up, and coordination with departments to secure payments. You will use medical terminology and work to support our community hospital teams.

Qualifications

• Previous hospital billing experience required.
• Experience with government programs and collections preferred.
• Knowledge of medical terminology.
• Effective written and verbal communication skills.
• Ability to multi-task and meet required timelines.
• Analytical and problem-solving skills.
• Customer service experience required.
• High School Diploma or GED required.

Responsibilities

• Submit claims to payers and ensure coding compliance with Medi-Cal/Medicare where applicable.
• Obtain required authorizations for processing and payment of claims.
• Follow-up and manage denials to achieve final resolution.
• Identify ICD9, CPT, HCPCS, DRG codes relevant to reimbursement.
• Communicate clearly with clients and staff by phone and in person.
• Maintain productivity standards and reports.
• Gather updated demographics and information to comply with billing requirements.
• Operate computer to input follow-up notes and retrieve patient information.

Skills

Verbal communication

Written communication

Analytical skills

Multi-tasking

Customer service

Education

High School Diploma or GED

Job description

Prime Healthcare in Weslaco, TX is seeking a Medical Biller to manage patient billing and insurance claims in the Physician Group or hospital setting. You will ensure accurate coding, timely reimbursements, and clear communication with patients and insurers.

This full-time daytime role focuses on coding accuracy, claim follow-up, and coordination with departments to secure payments. You will use medical terminology and work to support our community hospital teams.