Job Description

Medical Biller / Coder – Full-Time

Salary negotiable with experience

Location: Walpole
Employment Type: Part-Time/Full-Time
Start Date: Immediate Hire

Benefits:

• Paid Time Off (PTO)
• Health Insurance
• Dental Insurance
• Life Insurance
• Short- and Long-Term Disability Insurance
• Bonus
• Profit Sharing
• Buy-out of Unused Sick Time

Job Summary:

We are currently seeking an experienced and detail-oriented Medical Biller/Coder to join our team. The ideal candidate will be responsible for processing insurance claims, ensuring proper coding for services rendered, managing accounts receivable, and maintaining up-to-date knowledge of payer requirements and coding guidelines. There will also be Front Desk Responsibility,

This role requires at least 2 years of experience in medical billing and coding, preferably with CPT Pediatric coding and ICD-10 diagnostic coding. Familiarity with Epic systems and Microsoft Excel is highly desirable.

Key Responsibilities:

• Submit claims through Epic within one business day of receipt
• Review and reprocess denied or partially paid claims
• Prevent claims from aging over 90 days
• Assist with accurate CPT and ICD-10 coding
• Answer coding-related provider inquiries
• Monitor and work outstanding claim reports
• Manage over/underpayment reports
• Proactively work claims in the billing work queue multiple times daily
• Communicate with insurance providers to resolve issues
• Maintain accurate insurance login credentials and stay informed on accepted insurances
• Manage private pay accounts to keep balances under 120 days
• Ensure compliance with all patient confidentiality policies and government regulations
• Patient registration, insurance eligibility verification, and charge entry
• Post insurance and patient payments accurately
• Perform A/R follow-up and manage unpaid crossover balances
• Process takeback requests and refunds as needed
• Provide exceptional customer service
• Some front desk responsibilities

Requirements:

• High School Diploma or equivalent
• Minimum 2 years of experience in medical billing or coding
• Knowledge of CPT (Pediatric preferred) and ICD-10 coding
• Experience with Epic (preferred)
• Proficient in Microsoft Excel
• Strong analytical and problem-solving skills
• Ability to interpret complex instructions and insurance policies
• Strong attention to detail and organizational skills
• Ability to work independently and as part of a team
• Excellent verbal and written communication skills

Work Environment:

This position operates in a professional office setting. It requires the use of standard office equipment, including computers, phones, printers, and fax machines. The role may involve extended periods of sitting, standing, and walking.

Other Information:

This job description is not exhaustive, and duties may change or evolve over time. Flexibility and a team-oriented attitude are key to success in this role.

How to Apply:

Please submit your resume and a brief cover letter outlining your experience to jlevya@walpolepediatrics.com. Applications will be reviewed on a rolling basis until the position is filled.

Job Type: Full-time

Pay: $24.00 - $30.00 per hour

Benefits:

• Health insurance
• Life insurance
• Paid time off
• Retirement plan

Education:

• High school or equivalent (Preferred)

Experience:

• Customer Service: 1 year (Preferred)

Work Location: In person

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