Medical Biller Lead - FT , 5+ Years Exp

About the position The Medical Biller Lead position at PGM Billing, LLC is a full-time role focused on supporting the manager in various billing tasks within a medical billing company. The ideal candidate will have over 5 years of experience in revenue cycle management and will be responsible for handling billing tasks, denial management, and assisting staff in resolving issues. This role requires in-office work and emphasizes the importance of accuracy and communication in a fast-paced environment. Responsibilities • Support manager in account specific work such as billing out claims, working rejections and denials, posting payments, A/R follow-up and denial management. , • Investigate complex denials that other staff may be unable to resolve by locating payer policies and evaluating coding problems. , • Access insurance carrier portals or third-party intermediary portals to track down denial reasons and/or payment details. , • Learn and master the use and functionality of the billing software, including the clearinghouse portal. , • Make necessary updates to the practice management software or clearinghouse website to re-submit claims previously denied for payment. , • Assign or identify appropriate CPT codes (ICD-9, DRG, ICD-10), diagnoses codes, and modifiers. , • Verify patient insurance coverage. , • Maintain confidentiality of patient information and adhere to HIPAA regulations. , • Stay updated on changes in medical coding systems and billing procedures. Requirements • Minimum of 5 years of experience in medical billing or coding. , • Proficiency in medical coding systems (ICD-9, DRG, ICD-10). , • Knowledge of medical office procedures and medical collection practices. , • Strong attention to detail and accuracy in coding and billing processes. , • Professional communication skills with staff and providers. , • Ability to work independently and meet deadlines in a fast-paced environment. Nice-to-haves • Experience with EHR systems , • Organizational skills , • Ability to work well in a team setting. Benefits • Health insurance , • Dental insurance , • 401(k) , • Flexible spending account , • Paid time off , • Vision insurance , • Flexible schedule , • Life insurance Apply Job!