On-Site Medical Biller

Overview

We are seeking an experienced and detail-oriented On-Site Biller to manage and oversee the full revenue cycle process in a fast-paced clinical environment. This role plays a key part in ensuring accurate billing, timely reimbursements, and effective coordination with clinical and administrative teams.

• Manage the end-to-end revenue cycle management (RCM) process, including claims submission, payment posting, accounts receivable, and denial/rejection management.
• Review and interpret ERAs and EOBs to ensure accurate posting and reconciliation.
• Ensure compliance with E/M coding guidelines and payer requirements.
• Monitor insurance reimbursements, with a strong focus on Medicare, HMO, and PPO plans.
• Frequently interface with Chinese-speaking patients regarding billing and insurance matters.
• Work closely with clinical and front office teams to resolve billing and coding issues.
• Generate and analyze billing reports, spreadsheets, and performance metrics.
• Identify trends, discrepancies, and opportunities to improve billing efficiency.
• Lead, support, and collaborate with billing staff as needed.

• Comprehensive knowledge of the full RCM and billing cycle.
• Strong understanding of E/M coding guidelines, ERAs, and EOBs.
• In-depth knowledge of insurance reimbursement policies (Medicare focus preferred).
• Proficient in EHR systems.
• Highly preferred: experience in a primary care setting.
• Leadership and team management experience.
• Ability to multitask, prioritize, and meet deadlines in a high-volume environment.
• Strong analytical skills, including developing spreadsheets and evaluating billing data.
• Bilingual in Chinese and English
  , as this role will frequently interface with Chinese-speaking patients.
• Excellent organizational, problem-solving, time management, and customer service skills.
• Strong communication, teamwork, and attention to detail.