Medical Biller & Coder

Love & Care Family Clinic; Houston (TX); Sur place; USD 45 000 - 65 000; Plein temps

Résumé du poste

Love & Care Family Clinic in Houston, TX is seeking an experienced Medical Biller & Coder to join our in‑person billing team. The ideal candidate has at least 5 years of medical billing and coding experience, and can navigate Medicare, Medicaid, and commercial claims.

You will ensure accurate ICD-10-CM, CPT, and HCPCS coding, verify insurance benefits, and follow up on denials while maintaining HIPAA compliance. Bilingual English/Spanish is required.

Qualifications

• Minimum 5 years of professional medical billing and coding experience.
• Fluent in English and Spanish (Required).
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding.
• Experience with insurance claims, payment posting, denials, and appeals.

Responsabilités

• Review, assign, and submit accurate ICD-10, CPT, and HCPCS codes.
• Process and submit medical claims to commercial insurance companies and government payers.
• Verify patient insurance eligibility and benefits.
• Follow up on unpaid, denied, and rejected claims and resolve billing issues.
• Review Explanation of Benefits (EOBs) and process insurance payments and adjustments.
• Submit corrected claims, appeals, and reconsiderations as needed.
• Maintain accurate patient billing records and documentation.
• Communicate with insurance representatives and patients regarding billing questions.
• Ensure compliance with HIPAA regulations and applicable billing guidelines.

Connaissances

Medical billing & coding

Bilingual (English/Spanish)

Outils

ICD-10-CM coding

CPT coding

HCPCS coding

EHR systems

Description du poste

Job Description

Now Hiring: Medical Biller & Coder

Location: Houston, TX
Job Type: Full-Time
Experience: Minimum 5 Years
Language: Bilingual (English/Spanish) – Required

About the Position

We are seeking an experienced, detail-oriented, and organized Medical Biller & Coder to join our team in Houston, TX. The ideal candidate will have at least 5 years of medical billing and coding experience, a strong understanding of healthcare insurance processes, and the ability to communicate fluently in both English and Spanish.

Responsibilities

• Review, assign, and submit accurate ICD-10, CPT, and HCPCS codes.
• Process and submit medical claims to commercial insurance companies and government payers.
• Verify patient insurance eligibility and benefits.
• Follow up on unpaid, denied, and rejected claims and resolve billing issues.
• Review Explanation of Benefits (EOBs) and process insurance payments and adjustments.
• Submit corrected claims, appeals, and reconsiderations as needed.
• Maintain accurate patient billing records and documentation.
• Communicate with insurance representatives and patients regarding billing questions.
• Ensure compliance with HIPAA regulations and applicable billing guidelines.

Qualifications

• Minimum 5 years of professional medical billing and coding experience (Required).
• Fluent in English and Spanish (Required).
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding.
• Experience with insurance claims, payment posting, denials, and appeals.
• Familiarity with commercial insurance, Medicare, and Medicaid.
• Excellent organizational skills and attention to detail.
• Strong communication, problem-solving, and computer skills.
• Ability to work independently and as part of a healthcare team.

Preferred

Experience in a family medicine or primary care clinic and familiarity with electronic health records (EHR) and practice management systems.

Experience

• Medical billing: 5 years (Required)

Language

• English (Required)
• Spanish (Required)

Work Location

In person