Medical Biller, On-site, Lancaster, PA

Medical Billing Specialist Location: On-site in Lancaster, PA Schedule: Full-Time, Monday-Friday (37.5 hours per week), 8:00 AM - 4:30 PM Length of Position: This is a temporary position that is estimated to last from October 2026 through March 2027 ## Medical Biller Position Summary We are seeking a detail-oriented and customer-focused Medical Billing Specialist to join our team. This role is responsible for the accurate and timely processing of medical bills, ensuring compliance with applicable regulations, maximizing bill review savings, and delivering exceptional service to clients, healthcare providers, and injured workers. The ideal candidate will have experience in medical billing, a strong understanding of medical terminology and medical codes, and the ability to manage multiple priorities in a fast-paced environment while maintaining a high level of accuracy. ## Key Responsibilities of the Medical Biller: ### Medical Bill Processing 1. Review, verify, and process medical billing information from multiple internal and external systems. 2. Validate billing details including provider information, account numbers, tax identification numbers, dates of service, charges, and units billed. 3. Submit qualified bills to preferred provider organization (PPO) vendors for review and processing. 4. Evaluate returned bills and approve or deny items as appropriate based on established procedures. 5. Ensure bills are processed accurately and within required deadlines. ### Compliance and Bill Review 1. Review medical bills for compliance with state fee schedules and regulatory requirements. 2. Apply fee schedule adjustments and pricing modifications when necessary. 3. Maintain current knowledge of billing regulations, reimbursement guidelines, and industry standards. ### Customer Service and Communication 1. Respond to inquiries from clients, healthcare providers, injured employees, and agency partners in a professional and timely manner. 2. Research billing questions and resolve issues efficiently. 3. Provide clear communication regarding claim and billing status while maintaining confidentiality standards. ### Administrative Support 1. Prepare correspondence and documentation requesting additional information when needed. 2. Assist with payment processing and related administrative tasks as assigned. 3. Provide backup support for other department functions as necessary. ## Qualifications of the Medical Biller: ### Required 1. 3+ years of experience in medical billing in a business setting 2. Formal training or education in medical billing 3. Working knowledge of medical terminology and ICD-10 coding 4. Proficiency with MS Word and MS Excel 5. Strong data entry and analytical skills with exceptional attention to detail. 6. Ability to manage multiple tasks, priorities, and deadlines effectively. 7. Excellent organizational and time-management skills. 8. Strong written and verbal communication skills. ### Preferred 1. Medical Billing and Coding Certification (CPC, CBCS, CMRS, or similar). 2. Experience working with workers' compensation claims and medical bill review processes. 3. Familiarity with healthcare billing software and electronic medical billing systems.