Medical Biller

Career Strategies; Weslaco (TX); On-site; USD 35,000 - 50,000; Full time

Job summary

Career Strategies is seeking a detail-oriented Medical Biller to join our healthcare team in Weslaco, TX. The role focuses on preparing and submitting claims, verifying insurance, and following up on denials to maximize reimbursement.

You will work with HIPAA-compliant processes, use billing software (Epic, Kareo, NextGen or AdvancedMD), and collaborate with clinical staff to ensure accurate coding (ICD-10/CPT/HCPCS) and timely payments.

Qualifications

• High school diploma or GED required.
• Associate’s degree or certification in medical billing/coding preferred.
• Minimum 1–2 years of experience in medical billing, preferably in a clinical or hospital setting.
• Proficiency in billing software (e.g., Epic, Kareo, NextGen, AdvancedMD, or equivalent).
• Strong understanding of EOBs, claim forms (CMS-1500/UB-04), and payer requirements.
• Excellent organizational and communication skills.
• Knowledge of ICD-10, CPT, and HCPCS codes.

Responsibilities

• Prepare, review, and submit medical claims to payers.
• Verify patient insurance eligibility before submission.
• Follow up on denied or unpaid claims and file appeals.
• Post payments into the billing system accurately.
• Resolve billing discrepancies and respond to inquiries.
• Collaborate with clinical staff to clarify documentation and coding.
• Ensure HIPAA compliance and maintain patient confidentiality.
• Maintain knowledge of payer rules and coding guidelines (ICD-10, CPT, HCPCS).

Skills

Billing software

ICD-10/CPT/HCPCS

HIPAA compliance

Communication skills

Education

High school diploma or GED

Associate degree or medical billing/certification

Tools

Epic

Kareo

NextGen

AdvancedMD

Job description

We are seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The Medical Biller is responsible for preparing and submitting patient claims to insurance companies, following up on unpaid accounts, and ensuring accurate billing to maximize reimbursement and support the revenue cycle.

Key Responsibilities

Prepare, review, and submit medical claims to private and government payers (Medicare, Medicaid, commercial insurers).

Verify patient insurance eligibility and benefits prior to claim submission.

Follow up on denied or unpaid claims and initiate appeals or corrections as needed.

Post payments from insurers and patients accurately into the billing system.

Resolve billing discrepancies and respond to inquiries from insurance providers and patients.

Collaborate with clinical and administrative staff to clarify documentation and coding issues.

Ensure compliance with HIPAA regulations and maintain confidentiality of patient information.

Maintain up-to-date knowledge of payer rules, billing procedures, and coding guidelines (ICD-10, CPT, HCPCS).

Qualifications

High school diploma or GED required; Associate’s degree or certification in medical billing/coding preferred.

Minimum 1–2 years of experience in medical billing, preferably in a clinical or hospital setting.

Proficiency in billing software (e.g., Epic, Kareo, NextGen, AdvancedMD, or equivalent).

Strong understanding of EOBs, claim forms (CMS-1500/UB-04), and payer requirements.

Excellent organizational and communication skills.

Knowledge of ICD-10, CPT, and HCPCS codes.