MEDICAL BILLER - FULL TIME - PEDIATRICS

Job Description

Job Description

About the Role :

The Medical Biller at Keystone Pediatrics plays a critical role in ensuring the financial health and operational efficiency of our pediatric healthcare services. This position is responsible for accurately processing and submitting medical claims to insurance companies and patients, ensuring timely reimbursement for services rendered. The role requires meticulous attention to detail to verify patient information, coding accuracy, and compliance with healthcare regulations. The Medical Biller will collaborate closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and answer inquiries. Ultimately, this position supports the practice’s mission by facilitating smooth revenue cycles and enabling continued delivery of high-quality pediatric care.

Minimum Qualifications :

• High school diploma or equivalent required; Associate degree or certification in medical billing or health information management preferred.
• Proven experience in medical billing, preferably within a pediatric healthcare setting.
• Strong knowledge of medical billing software and electronic health record (EHR) systems.
• Familiarity with ICD-10, CPT, and HCPCS coding standards.
• Excellent attention to detail and organizational skills.

Preferred Qualifications :

Responsibilities :

Skills :

The Medical Biller utilizes their expertise in medical coding and billing software daily to ensure claims are accurately prepared and submitted, minimizing errors and delays. Strong communication skills are essential for interacting with insurance companies, healthcare providers, and patients to clarify billing issues and resolve disputes efficiently. Attention to detail is critical when reviewing patient records and insurance information to maintain compliance with healthcare regulations and coding standards. Organizational skills help manage multiple billing accounts and follow up on outstanding claims systematically. Additionally, staying current with industry changes allows the Medical Biller to adapt processes and maintain the integrity of the revenue cycle within the pediatric healthcare environment.

Equal Opportunity Employer