PrideStaff · 21 hours ago
Outpatient Medical Billing
PrideStaff is a leading national staffing firm, and they are seeking an Outpatient Medical Billing professional to manage the full cycle of patient and insurance billing for outpatient services. The role involves ensuring accurate revenue collection and includes responsibilities such as charge entry, claims management, and patient support.
DeliveryHuman ResourcesSmall and Medium Businesses
Responsibilities
Charge and Payment Entry: Entering patient charges, medical codes, and payments into the EHR/practice management system
Claims Management: Preparing, reviewing, and submitting clean, accurate insurance claims (Medicare, Medicaid, and commercial) to payers, often on a daily basis
Accounts Receivable (A/R) & Follow-up: Monitoring aging reports, identifying denials or rejections, and conducting follow-up with insurance companies to resolve issues
Appeals: Investigating and drafting appeals for denied claims
Patient Billing & Support: Answering patient inquiries, explaining billing statements, and establishing payment plans
Compliance: Ensuring all billing activities adhere to HIPAA regulations and internal policies
Reconciliation: Reconciling patient accounts, reviewing balances, and handling patient/insurance refunds
Qualification
Required
Previous experience in medical billing, preferably in a clinic or outpatient setting
High school diploma or equivalent
Proficiency in medical billing software/EHR
ICD-10, CPT, and HCPCS coding
Strong Microsoft Excel skills
Strong attention to detail
Excellent communication skills
Ability to work independently
Preferred
Some college coursework in business or accounting
Benefits
Health
Dental
Vision
401(k) matching
Paid time off (PTO)
Company
PrideStaff
PrideStaff is a staffing and recruiting company.
Funding
Current Stage
Late StageRecent News
2026-01-15
2025-12-30
Company data provided by crunchbase