Medical Biller

MediClaim Pros is a healthcare revenue cycle management company specializing in medical billing and insurance claims processing for behavioral health and substance use disorder treatment providers. The company partners with clinics and treatment centers to improve cash flow, reduce claim denials, and maintain compliance with healthcare regulations. MediClaim Pros operates in a remote friendly environment using secure, cloud based systems and industry standard billing tools. We are seeking a detail oriented Medical Biller to manage the full lifecycle of insurance claims for our clients. This role is responsible for preparing, submitting, and following up on claims to ensure accurate and timely reimbursement. The ideal candidate has experience in medical billing, understands payer requirements, and is comfortable working with electronic health records, billing platforms, and insurance portals in a fast paced remote environment.

Responsibilities

• Prepare and submit accurate medical claims to insurance companies using billing software and clearinghouses
• Review patient information, treatment documentation, and coding to ensure claim accuracy and completeness
• Monitor claim status and follow up with insurance payers to resolve unpaid or denied claims
• Perform denial management and resubmit corrected claims in a timely manner
• Post payments, adjustments, and reconcile accounts receivable balances
• Verify insurance eligibility and benefits prior to claim submission when required
• Maintain compliance with HIPAA and payer specific billing guidelines
• Communicate with internal teams to resolve discrepancies and improve billing workflows

Requirements

• High school diploma or equivalent required, associate degree in healthcare administration or related field preferred
• Minimum 2 years of experience in medical billing or revenue cycle management
• Familiarity with behavioral health or substance use disorder billing is preferred
• Knowledge of CPT, ICD coding basics and insurance claim processes
• Experience using electronic health records, billing software, and payer portals
• Proficiency with standard office tools including Microsoft Office and secure cloud based platforms
• Strong attention to detail and ability to manage multiple tasks efficiently
• Reliable high speed internet connection and dedicated workspace for remote work