Medical Biller

POSITION SUMMARY:

The Hospice of Baton Rouge is seeking a skilled Full-Time Medical Biller to support its day-to-day operations. The Medical Biller will be responsible for completing complex Medicare and Medicaid claims to ensure accurate submission, timely follow-up, and full compliance with federal and state regulations. This role will support optimal revenue cycle performance by coordinating with internal staff, patients, and payers to resolve denials, maintain accurate financial records, and facilitate proper reimbursement.

JOB RESPONSIBILITIES:

• Accurately and timely prepare and submit insurance claims for Medicare and Medicaid in compliance with federal and state regulations

• Follow up on unpaid or denied claims; research root causes, resolve discrepancies, and submit effective appeals as needed

• Review and reconcile Explanations of Benefits (EOBs) and remittance advice; ensure accurate payment posting and identify variances

• Communicate with patients regarding account balances, payment plans, and billing inquiries related to Medicare and Medicaid services

• Maintain accurate billing records and documentation in accordance with HIPAA and all regulatory requirements

• Collaborate with other departmental staff, clinical teams, providers, and administrative staff to resolve billing issues and improve claim accuracy

• Stay current with Medicare and Medicaid policy updates, coding guidelines (ICD-10, CPT, HCPCS), and billing regulations

• Utilize medical billing software and Electronic Health Record (EHR) systems efficiently and accurately

• Accurately verify patient insurance information, payment systems, and government program requirements using medical billing software and online platforms

• Confirm compliance with state-specific regulations and ensure all verification data is documented accurately