About Us: We are a rapidly growing healthcare organization seeking a highly skilled Chiropractic Biller with extensive experience in out-of-network billing for chiropractic practices. Our focus is on delivering excellent patient care, and we need a billing expert who can ensure efficient and accurate processing of insurance claims and patient billing, particularly in out-of-network scenarios.

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Position Overview: The Chiropractic Biller will be responsible for handling all aspects of billing, insurance claims, and reimbursements, specifically for out-of-network chiropractic practices. The ideal candidate must have solid experience in chiropractic billing, a deep understanding of out-of-network insurance processes, and a proven track record of maximizing reimbursements. Prior experience in US-based billing for chiropractic practices is a must.

Key Responsibilities:
✅Insurance Claims Management: Handle end-to-end billing processes for chiropractic services, with a focus on out-of-network claims.
✅Verification of Benefits: Verify patients' insurance benefits, particularly in out-of-network settings, and communicate with patients about their coverage and financial responsibilities.
✅Claims Submission: Accurately prepare, submit, and follow up on claims to insurance companies in a timely manner, ensuring compliance with payer policies.
✅Denial Management: Review, appeal, and resolve denied or underpaid claims to maximize reimbursement for services rendered.
✅Patient Billing: Prepare and send patient statements, answer billing inquiries, and manage payment collections, including setting up payment plans when necessary.
✅Reimbursement Tracking: Track all claims and payments to ensure proper and timely reimbursement, minimizing outstanding balances.
✅Compliance: Ensure that all billing practices comply with state and federal regulations, including HIPAA guidelines.
Reporting: Generate regular financial and claims status reports for internal review to monitor revenue cycle performance.
✅Collaboration: Work closely with chiropractors, practice managers, and insurance companies to resolve billing issues and maintain a seamless billing process.

Qualifications:
✅Experience:
❌Minimum 2-3 years of experience in chiropractic billing, with specific experience in out-of-network billing required.
❌Must have experience with US-based healthcare billing processes.
✅Knowledge:
❌Strong understanding of chiropractic billing codes, out-of-network claims processing, and reimbursement methodologies.
❌Expertise in dealing with private insurance, Medicare, and other relevant payers.
✅Technical Skills: Proficiency in using medical billing software, Electronic Health Records (EHR) systems, and relevant billing tools.
✅Communication: Excellent communication skills for interacting with insurance companies, patients, and healthcare providers regarding billing issues.
✅Detail-Oriented: Ability to maintain accuracy in billing processes and meticulous attention to detail in claims processing.
✅Problem-Solving: Strong skills in denial management and ability to work through billing challenges to resolve issues efficiently.

Job Types: Full-time, Part-time