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!