MEDICAL BILLER - CLAIMS CORRECTION SIGN ON BONUS OF $2500.00 FOR QUALIFIYING FULL TIME EMPLOYEES! PAY: $25.00 to $27.00 per hour (dependent on Experience) FULL TIME - CONTRACT - MID LEVEL - IN OFFICE Position Overview We are seeking an experienced Medical Biller to join our in-office billing team. The ideal candidate has strong hands-on knowledge of medical billing and the revenue cycle, and is comfortable working directly in Change Healthcare, SSI, insurance carrier portals, and other payer systems. This role requires someone who can research, correct, update, and resubmit claims, and who can identify the underlying reason a claim was denied or needs correction. You must be detail-oriented, analytical, and able to resolve billing issues independently, not simply submit claims. Key Responsibilities - Review medical claims for accuracy, completeness, and payer requirements
- Research and correct denied, rejected, suspended, and incorrectly billed claims
- Update and correct claims through Change Healthcare and the SSI portal
- Navigate individual insurance carrier portals to correct and resubmit claims
- Identify and correct claim errors involving:
- CPT codes and ICD-10 diagnosis codes
- Revenue codes, modifiers, units, and charges
- Provider information and place of service
- Authorization information
- Patient and insurance demographics
- Other payer-specific requirements
- Ensure diagnosis codes support the CPT codes billed and meet payer requirements
- Update and correct APG rates when applicable
- Review and update revenue codes based on services rendered and payer requirements
- Investigate claim edits and payer rejections and determine the correct fix
- Resubmit corrected claims through the appropriate clearinghouse or payer portal
- Monitor corrected claims until they are accepted and processed
- Review payer responses, claim status, EOBs, ERAs, and denial information
- Contact insurance carriers when additional research or clarification is needed
- Document claim corrections, payer communications, and follow-up activity
- Identify recurring billing issues and report trends to management
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