Medical Biller & Auditor

Description

Medical Biller - Join Our Team at WeEvolve, LLC

About Us:

At WeEvolve, LLC, we’re more than just a provider of Applied Behavior Analysis (ABA) therapy—we’re a team dedicated to improving lives. We offer in-home, onsite, and community-based ABA therapy across Palm Beach County and the Treasure Coast, delivering the highest quality care to individuals and families. With a strong clinical foundation and a passion for what we do, we aim to evolve with science and foster positive outcomes one relationship at a time.

We’re looking for an organized, detail-oriented, and dedicated Medical Biller to join our team and help us continue to provide exceptional care. If you're ready to be part of a forward-thinking company where you can make an impact, we'd love to hear from you!

Website: www.WeEvolveABA.com

Your Role:

As a Medical Biller at WeEvolve, LLC, you will be a key player in ensuring the efficient and accurate processing of billing and claims. Your main responsibility will be to manage the billing process for Medicaid and Private Insurance providers, ensuring timely and error-free submissions.

This is an in-person role based in our Boca Raton office, with regular working hours Monday through Friday, from 8:30 AM to 5:00 PM (30-minute lunch break).

What You'll Do:

• Billing & Documentation: Ensure the accuracy and completeness of billing information for both Medicaid and private insurance claims. Create, process, and track all billing documentation.
   
• Collaborate & Resolve Issues: Work closely with insurance companies and other team members to resolve billing and credentialing issues in a timely manner.
   
• Maintain Patient Files: Organize and maintain accurate patient files, ensuring compliance with privacy regulations (HIPAA).
   
• Other Duties: Support additional administrative and clerical tasks as assigned, contributing to the smooth operation of the billing and credentialing departments.
   

Key Competencies:

• Analytical Thinking: Ability to analyze data, identify problems, and develop appropriate solutions.
   
• Detail-Oriented: Precision and attention to detail are key in maintaining billing accuracy and compliance.
   
• Organization: Ability to manage multiple tasks efficiently while maintaining an organized and systematic workflow.
   
• Time Management: Meet deadlines and ensure tasks are completed within the required time frame.
   
• Ethical Conduct & Integrity: Maintain high standards of ethics and confidentiality, adhering to HIPAA regulations.
   
• Reliability & Accountability: Dependability in performing tasks and taking responsibility for outcomes.
   
• Clear Communication: Strong verbal and written communication skills are essential to interacting with colleagues, providers, and insurance companies.
   

Work Environment:

• This role is based in our professional office environment in Boca Raton, FL, and will regularly use standard office equipment (computers, phones, photocopiers, fax machines).
   
• Physical Demands: The role requires regular talking and hearing, occasional standing and walking, and the ability to handle office equipment.
   

Minimum Qualifications:

• Preferred Education: Associate’s degree or equivalent experience.
   
• Experience: Minimum of 2 years in an administrative or clerical role (preferably in medical billing or insurance).
   
• Skills: Proficiency in Microsoft Office, especially Excel and Word. Strong follow-up and organizational skills.
   
• Medical Terminology: Familiarity with medical terminology is a plus.
   
• Communication: Fluent in English (Spanish is a plus). Excellent written and verbal communication skills.
   
• Confidentiality & HIPAA: Ability to maintain confidentiality and ensure compliance with HIPAA regulations.
   
• Attention to Detail: Extremely detail-oriented with the ability to handle multiple tasks without supervision.
   

Why WeEvolve?

• Growth & Impact: We are a company that evolves with the science of ABA therapy, so you’ll have the opportunity to grow and contribute to something meaningful.
   
• Inclusive Environment: WeEvolve, LLC is an Equal Opportunity Employer, committed to providing equal employment opportunities to all individuals regardless of age, race, color, creed, religion, national origin, disability, gender, sexual orientation, or veteran status.
   

If you’re an organized, diligent individual with a passion for helping others and an eye for detail, we want to hear from you! Join a company that’s making a real impact on the lives of families across Broward, Palm Beach and the Treasure Coast.