Medical Biller with Coding Experience

Childhealthassociates; Pondville (MA); On-site; USD 42,000 - 66,000; Full time

Job summary

Childhealthassociates is seeking an experienced Medical Biller with Coding Experience to join our team. You will manage revenue cycle tasks including timely claims submission, denial management, and accurate billing and coding to ensure optimal reimbursement.

The ideal candidate brings knowledge of ICD-10-CM, CPT, HCPCS, and HIPAA compliance; experience with EHR/EMR systems and medical billing software; and the ability to work independently while maintaining meticulous records.

Qualifications

• Experience in medical billing, coding, or healthcare revenue cycle.
• Working knowledge of ICD-10-CM, CPT, and HCPCS.
• Knowledge of HIPAA and patient confidentiality.
• Experience with EHR/EMR systems and medical billing software.

Responsibilities

• Prepare, submit, and follow up on medical claims.
• Review accounts and documentation for accurate billing and coding.
• Investigate denials, rejections, and discrepancies.
• Follow up on outstanding AR and unpaid claims.
• Post insurance and patient payments from EOBs and ERAs.
• Verify insurance eligibility and benefits.
• Communicate with payers, patients, and staff to resolve issues.
• Stay current on coding guidelines and billing regulations.

Skills

Medical Billing

Attention to Detail

Organization

Communication

Problem Solving

Independent Work

HIPAA Knowledge

Education

High School Diploma

Billing/Coding Training

Tools

EHR/EMR Systems

Billing Software

Job description

Join our team and help keep our practice running smoothly behind the scenes.

We are looking for an experienced, detail-oriented Medical Biller with Coding Experience to join our team. In this role, you'll play an important part in our revenue cycle by ensuring services are billed accurately, claims are processed efficiently, and outstanding balances are followed through to resolution.

The ideal candidate is organized, dependable, comfortable working independently, and knowledgeable about medical billing, coding, and insurance requirements.

What You'll Do

• Prepare, submit, and follow up on electronic and paper medical claims
• Review patient accounts and documentation to ensure accurate billing and coding
• Ensure claims meet payer guidelines and applicable billing requirements
• Investigate and resolve claim denials, rejections, and billing discrepancies
• Follow up on outstanding accounts receivable and unpaid claims
• Review EOBs and ERAs and accurately post insurance and patient payments
• Verify insurance eligibility and benefits as needed
• Communicate with insurance companies, patients, providers, and team members to resolve billing issues
• Identify coding or documentation concerns that may affect reimbursement and communicate them to the appropriate staff
• Maintain accurate billing records while protecting patient confidentiality
• Assist with account reconciliation, audits, and other revenue-cycle activities as needed
• Stay current on coding guidelines, payer requirements, and billing regulations

What We're Looking For

• High school diploma or equivalent; additional education or training in medical billing and coding is preferred
• Previous experience in medical billing, coding, or healthcare revenue cycle
• Working knowledge of ICD-10-CM, CPT, and HCPCS
• Strong understanding of insurance claims processing and reimbursement
• Experience using EHR/EMR systems and medical billing software
• Strong attention to detail and commitment to accuracy
• Excellent organizational, communication, and problem-solving skills
• Ability to prioritize responsibilities, manage deadlines, and work independently
• Knowledge of HIPAA requirements and patient confidentiality standards

Even Better If You Have

• Experience with denial management and accounts receivable follow-up
• Knowledge of Medicaid and commercial insurance requirements
• Experience working in a physician practice or specialty medical office

Why Join Us?

You’ll be part of a collaborative healthcare team where your experience and attention to detail make a meaningful difference. We value team members who take ownership of their work, communicate well, and are committed to supporting both our providers and the patients we serve.

If you're an experienced medical billing professional who enjoys solving problems, staying organized, and keeping the revenue cycle moving, we'd love to hear from you.