Medical Billing/Insurance Representative

Job Description The Medical Billing/Insurance Representative is responsible for the Accuracy, Quality, and Timeliness of certain billable services processed by the Company. Reports to Billing Manager Billing Lead Job Duties Billing/Invoicing Facilities, Home Care, and Hospices for Services Rendered. Assisting in direct customer billing, as well as processing and billing Medicare and private insurance claims (i.e., Medicare/Insurance Verification, CMN, Doctor’s Order’s, Claims Denials, etc.).

Interfacing with customers, patients, and company personnel to discuss, evaluate, process, and resolve billing adjustment requests, both independently and cooperatively with the Billing Team. Generating reports and completing assignments as assigned by the Billing Manager and Billing Lead. Qualifications Job Requirements Associate’s degree or equivalent experience (Bachelor’s preferred). Minimum of 1 year experience with medical billing and coding and understanding of Medicare/Insurance billing procedures (preferred).

Intermediate Microsoft Excel skills (Pivot Tables, VLOOKUP, etc.). Proficient in navigating and utilizing both web portals and online databases to manage and review billing data and patient records. Strong time management, problem-solving, and organizational skills. Excellent written and verbal communication skills. Familiarity with Durable Medical Equipment language and usage (Preferred). Additional Information All applicants must pass a national criminal background check and not be listed on United States OIG Exclusion List of Excluded Individuals/Entities (LEIE) to be considered for the position.

Mandatory overtime during the monthly billing cycle (1 st 10 business days of a given month). Remote position with initial in-office training and onboarding.