Medical Biller

Company Description Nexise Manufacturing is a growing organization focused on delivering reliable, high-quality services and solutions to its clients. The company values accuracy, efficiency, and strong collaboration across teams to support smooth business operations. Nexise Manufacturing encourages continuous learning and professional development to help team members advance their skills. The work environment emphasizes accountability, clear communication, and respect for diverse perspectives. Team members are supported with the tools and processes needed to perform effectively in remote and contract-based roles.
Role Description The Medical Biller at Nexise Manufacturing is a remote, contract role responsible for managing the full billing cycle for medical claims. Day-to-day tasks include preparing and submitting claims to insurance carriers, Medicare, and other payers, ensuring accurate coding using ICD-10, and verifying coverage and eligibility. The role involves monitoring claims for denials or underpayments, investigating and resolving billing discrepancies, and following up with payers to secure timely reimbursement. The Medical Biller will also maintain detailed records, respond to billing inquiries, and collaborate with internal teams or clients to clarify medical terminology and documentation requirements. Consistent use of billing software, adherence to regulatory standards, and protection of confidential information are essential aspects of this position.
Qualifications
Strong knowledge of Medical Terminology to accurately interpret clinical documentation and translate it into billing information.
Experience working with ICD-10 codes and applying correct coding practices for various procedures and diagnoses.
Understanding of Insurance processes, including commercial payers, policy requirements, and prior authorization workflows.
Hands-on experience with Medicare billing rules, coverage guidelines, and claims submission procedures.
Proficiency in managing Denials, including identifying root causes, correcting claims, and resubmitting or appealing as appropriate.
Familiarity with medical billing software or practice management systems and strong data entry skills with high attention to detail.
Ability to work independently in a remote setting, manage deadlines, and prioritize multiple billing tasks effectively.
Excellent written and verbal communication skills for interacting with payers, clients, and internal stakeholders.
Prior experience in medical billing, revenue cycle, or healthcare administration is preferred.
Relevant certification in medical billing and coding or comparable training is beneficial.

Work arrangement
No