Medical Biller

AAPC; Lubbock (TX); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive Compensation

Great Work Environment

Career Advancement Opportunities

Job summary

AAPC is seeking a skilled Medical Biller to manage timely submission of medical claims, verification of benefits, and follow-up on accounts receivable. The ideal candidate will handle denial management and appeals while maintaining HIPAA-compliant documentation.

Wound-care billing experience is highly preferred. The role emphasizes accuracy, independent work, and clear communication with clinical and administrative staff to ensure smooth billing operations.

Qualifications

• Customer service skills are essential for patient interactions and payer communication.
• Experience with medical coding or billing is preferred.
• Organizational skills help manage multiple claims and deadlines.
• High attention to detail reduces errors in claims, denials, and postings.

Responsibilities

• Prepare, review, and submit clean medical claims to insurance companies.
• Review claims for accuracy and completeness prior to submission.
• Follow up on unpaid, rejected, and denied claims.
• Research and resolve claim denials and billing issues.
• File and track insurance appeals and reconsiderations.
• Monitor aging reports and prioritize accounts based on payer deadlines.
• Verify insurance eligibility and benefits when needed.
• Post insurance and patient payments accurately.

Skills

Strong customer service skills

Medical billing experience

Strong organization skills

Attention to detail

Job description

Job Description

Job Description

Benefits/Perks

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

Position Summary

The Medical Biller will be responsible for the timely and accurate submission and follow-up of medical claims, insurance verification and billing-related tasks, accounts receivable follow-up, payment posting, denial management, and appeals.

The ideal candidate will have strong knowledge of medical insurance billing and be comfortable working independently while communicating effectively with clinical and administrative staff.

Wound-care billing experience is highly preferred.

Key Responsibilities

• Prepare, review, and submit clean medical claims to insurance companies.
• Review claims for accuracy and completeness prior to submission.
• Follow up on unpaid, rejected, and denied claims.
• Research and resolve claim denials and billing issues.
• File and track insurance appeals and reconsiderations.
• Work accounts receivable and identify outstanding balances requiring follow-up.
• Verify insurance eligibility and benefits when needed.
• Review patient accounts for accurate charges, payments, adjustments, and balances.
• Post insurance and patient payments accurately.
• Monitor aging reports and prioritize accounts based on timely filing and other payer deadlines.
• Communicate with insurance companies regarding claim status, payment issues, denials, and appeals.
• Maintain accurate documentation of billing follow-up and correspondence.
• Identify recurring billing issues and communicate them to management.
• Work closely with clinical and front-office staff to resolve missing or incorrect information.
• Maintain patient confidentiality and comply with HIPAA regulations.
• Assist with Medicare, Medicaid, Medicare Advantage, commercial insurance, and other payer requirements.
• Stay current with payer requirements, billing guidelines, and changes affecting wound-care services.
• Perform other billing and administrative duties as assigned.

Qualifications

• Strong customer service skills
• Previous experience with medical coding or billing desired
• Strong organization skills
• Excellent attention to detail