Part-Time Medical Biller (TRICARE Experience Required)
Ataraxis
About the role
We are seeking a Part-Time Medical Biller with hands-on experience in TRICARE billing to support U.S.-based healthcare providers with medical billing and insurance claims processing. The ideal candidate has a strong understanding of TRICARE billing requirements, claims submission, payment posting, and denial management to help ensure accurate and timely reimbursement.
Key Responsibilities
I. Medical Billing and Claims Processing
- Prepare, review, and submit medical claims to TRICARE and other applicable insurance payers.
- Ensure claims are accurate, complete, and compliant with payer requirements.
- Verify patient insurance information and eligibility before claim submission.
II. TRICARE Billing and Reimbursement
- Apply knowledge of TRICARE coverage, billing guidelines, and reimbursement procedures.
- Review claims for errors, missing information, and potential billing discrepancies.
- Follow up on pending, rejected, or denied TRICARE claims to facilitate resolution.
III. Payment Posting and Denial Management
- Post insurance payments, adjustments, and patient payments accurately.
- Investigate claim denials and underpayments and submit corrections or appeals as needed.
- Monitor outstanding accounts receivable and follow up on unpaid claims.
IV. Records and Compliance
- Maintain accurate billing records and document claim status and follow-up activities.
- Protect patient information and comply with HIPAA privacy and security requirements.
- Coordinate with the healthcare team to resolve billing issues and discrepancies.
Qualifications and Requirements:
- Proven experience in medical billing for U.S.-based healthcare providers.
- Hands-on experience with TRICARE billing is required.
- Knowledge of U.S. medical insurance claims processing, payment posting, and denial management.
- Familiarity with insurance eligibility verification, claim corrections, and appeals.
- Experience using electronic health records (EHR), practice management, or medical billing software.
- Understanding of HIPAA requirements and patient data confidentiality.
-Strong communication, organization, and time-management skills.
- Ability to work independently and meet agreed deadlines.
- Availability to work part-time hours aligned with the client's schedule.