Southeastern Integrated Care believes wellness is best achieved in our community by ensuring individuals receive adequate access to quality, integrated behavioral health and medical care resources. Integrated care is an approach to healthcare that involves blending medical care and behavioral health care, with the goal of improving the overall health and well-being of an individual. Southeastern Integrated Care focuses specifically on linking care involving primary, mental health, and substance abuse treatment through a team of qualified, licensed clinical professionals. Our team of clinicians work with consumers to coordinate engagement in their care to ensure proper management of medical and psychosocial needs.
About The Role
We are seeking a dedicated and detail-oriented Medical Biller to join our Finance department in a remote, full-time hourly capacity. In this role, you will play a pivotal part in ensuring accurate and timely submission of medical insurance claims while maintaining compliance with industry regulations. Your work will directly impact the financial health and operations of the organization, as you navigate insurance guidelines and assist in resolving billing discrepancies. This is an excellent opportunity for a meticulous professional with strong organizational skills and a passion for healthcare finance.
What You'll Do
- Accurately prepare and submit medical claims to insurance companies electronically or via paper submission.
- Review and verify patient and insurance information for accuracy and completeness.
- Follow up on unpaid claims with insurance providers to secure reimbursement.
- Resolve billing discrepancies and communicate effectively with patients regarding outstanding balances or billing questions.
- Ensure compliance with applicable laws, regulations, and contractual obligations related to medical billing.
- Maintain up-to-date knowledge of industry standards, including ICD-10 and CPT coding.
- Generate and analyze billing reports to monitor claim status and collections performance.
- Coordinate with healthcare providers, insurance companies, and internal teams to rectify claim issues and support efficient payment processes.
Qualifications
- High school diploma or equivalent required; additional certification in medical billing or coding is highly preferred.
- Proven experience (minimum of 1-2 years) as a Medical Biller or in a similar role within healthcare finance.
- Proficiency in using electronic health records (EHR) and billing software systems.
- Strong understanding of medical terminology, ICD-10, CPT coding, and insurance claim processes.
- Exceptional attention to detail and accuracy in billing and documentation.
- Ability to work independently in a remote environment, managing time effectively to meet deadlines.
- Excellent communication skills, both verbal and written, in English.
- Strong problem-solving abilities, with a customer-focused approach to resolving billing issues.
The pay range for this role is:23.19 - 35.60 USD per hour(Remote (San Antonio, Texas, US))
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