Physician Biller

Location: Monongahela, PA (On-site)

Position Type: Full-time (Contract/Contract-to-Hire)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM

Pay Range: $17.00 – $20.00 / hour

 

About the Role

We are seeking a detail-oriented Physician Biller to join a growing healthcare revenue cycle team on-site in Monongahela, PA. In this role, you will play a key part in medical practice financial operations by managing the end-to-end professional billing process, resolving claim denials, and ensuring precise claim submissions to secure proper reimbursement.

 

Key Responsibilities

• Claim Submission & Billing: Prepare, review, and submit accurate professional claims to Medicare, Medicaid, commercial insurers, and third-party payers. Ensure correct usage of CPT, HCPCS, ICD-10-CM codes, modifiers, and place-of-service rules prior to billing.

• Account Management: Utilize eClinicalWorks (eCW) to input patient charges, post payments, process adjustments, and track account activity while verifying demographic, insurance, and authorization details.

• Denials & Accounts Receivable: Monitor claim status, work insurance aging reports, investigate claim rejections, and file appeals to resolve unpaid or underpaid claims.

• Payer Communication: Contact insurance providers directly to verify eligibility, address payment discrepancies, clarify authorization requirements, and track claim status.

• EOB/ERA Review: Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to evaluate payments, adjust balances, and determine appropriate follow-up actions.

Minimum Qualifications

• Experience: Minimum of 2 years in professional/physician medical billing and revenue cycle operations (charge entry, claim submission, payment posting, and A/R follow-up).

• Technical & Coding Knowledge: Working knowledge of CPT, HCPCS, ICD-10-CM coding, and medical terminology.

• Software: Experience using Electronic Health Record (EHR) and Practice Management systems.

Preferred Qualifications

• Direct experience utilizing eClinicalWorks (eCW).

• Proven track record in handling complex insurance follow-ups, appeals, and A/R resolution with Medicare, Medicaid, and commercial managed-care plans.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.