Description
This is a hands-on role for a billing professional who can operate independently, collaborate with a small internal team, and take ownership of high-value claims.
Key Responsibilities
- Generate and submit clean medical claims using physician-provided CPT and diagnosis codes
- Review and fine-tune claims prior to submission, including modifier awareness
Handle federal IDR (Independent Dispute Resolution) submissions
- Support appeals and follow up on denied claims when necessary
- Ensure claims comply with payer rules and reimbursement guidelines
- Work with commercial insurance carriers and Medicare
- Collaborate with internal billing staff on payment tracking and issue resolution
- Maintain accuracy, compliance, and confidentiality across all billing activities
Required Experience
- Minimum 3 years of experience as a Medical Billing Specialist
Federal IDR submission experience required
- Experience handling appeals and working denied claims
- Experience billing surgical and procedural claims
- Experience working with major commercial carriers and Medicare
- Strong understanding of clean claim generation and reimbursement workflows
- Comfortable working independently in a small practice environment
We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.
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