PB Medical Biller Elgin, ND at PsyPhyCare

PsyPhyCare a division of Business Staffing of America Inc. is seeking to contract with a PB Medical Biller to support the professional billing and revenue cycle operations of a healthcare facility located in Elgin ND.This role is designed for professionals experienced in professional/physician billing claims management and revenue cycle workflows. Remote hybrid or onsite arrangements may be available depending on facility requirements.The PB Biller will process professional claims review provider documentation manage denials and ensure accurate and timely billing for physician and outpatient services.LOCATIONThe contractor will support a hospital clinic or multi-specialty medical setting with diverse professional services and billing needs.This assignment is onsite and located in Elgin ND.PERIOD OF PERFORMANCEFull-time schedule Standard business hours Monday through Friday.Specific shift details will be discussed during screening and onboarding.ROLES / RESPONSIBILITIESThe PB Biller will perform duties including but not limited to:Prepare review and submit professional claims to insurance companies.Verify patient insurance coverage and resolve eligibility discrepancies.Review provider documentation for coding and billing accuracy.Post payments adjustments and denials in billing systems.Monitor claim status and follow up on outstanding balances.Investigate and resolve claim denials rejections and underpayments.Submit corrected claims and appeals when necessary.Ensure compliance with payer guidelines CMS requirements and HIPAA standards.Communicate with patients regarding account balances and billing questions.Coordinate with coders front office staff and clinical teams to resolve billing issues.Maintain accurate billing records reports and documentation.Participate in required training system updates and revenue cycle task and improvement initiatives.QUALIFICATIONS Education & ExperienceHigh school diploma or equivalent (required).Certificate or coursework in medical billing professional billing or related field (preferred).North Dakota CAW experience (minimum 3 months).Minimum 12 years of professional/physician billing experience in a healthcare setting.Licensure & CertificationsCertified Professional Biller (CPB) Certified Medical Reimbursement Specialist (CMRS) or similar credential (preferred but not required).Skills & CompetenciesStrong knowledge of professional billing procedures payer rules and insurance guidelines.Familiarity with CPT ICD-10 HCPCS codes and medical terminology.Proficiency with EMR/EHR and billing software (Epic Athena Meditech etc.).WORK ENVIRONMENT & PHYSICAL REQUIREMENTSMust maintain patient confidentiality and comply with HIPAA and organizational policies.Requires use of standard office equipment including computers phones and billing platforms.Ability to work in a very small team (currently two staff one off Mondays one off Fridays). Key Skills EMR Systems,Medical Collection,Athenahealth,eClinicalWorks,ICD-10,Medical Coding,Medical office experience,ICD-9,Medical Billing,Medical Terminology,CPT Coding,Medicare Employment Type : Full-Time Experience: years Vacancy: 1