UnifyCX is looking for highly detail-oriented
Facility Medical Billers to join our motivated and ambitious team.
What Will You Do
We are looking for proactive and performance-driven Facility Medical Billers to support accurate and efficient billing operations. In this role, you will handle end-to-end claims processing, ensure compliance with payer requirements, and maintain strong accounts receivable performance.
- Prepare, review, and submit medical claims (electronic and paper), including UB-04 (CMS-1450) forms
- Ensure accurate completion of claim details such as ICD-10, CPT/HCPCS codes, revenue codes, modifiers, and facility/provider information
- Verify patient insurance eligibility and benefits prior to claim submission
- Identify and correct claim errors to minimize denials and rework
- Manage accounts receivable, including denial follow-up, corrections, and timely resubmissions
- Reconcile accounts using payer remittances (EOBs/ERAs)
- Prepare and submit claim appeals, including gathering supporting documentation, drafting appeal letters, and following up on reconsideration requests to maximize reimbursement
- Contact insurance carriers to collect outstanding payments, investigate delayed reimbursements, and ensure timely resolution of unpaid or underpaid claims
- Ensure compliance with payer guidelines and federal regulations
- Communicate with facilities, payers, and patients to resolve billing discrepancies
- Work across multiple billing systems while maintaining accuracy and productivity
Who You Are:
To be considered, candidates are expected to have the following:
Required Qualifications
- At least 1 year and 6 mos of facility medical billing experience
- Strong knowledge of ICD-10, CPT/HCPCS coding, revenue codes, and modifiers
- Experience handling UB-04 (CMS-1450) claims
- Experience preparing, submitting, and following up on insurance appeals, including drafting appeal letters and compiling supporting documentation
- Experience managing the full claim lifecycle, from claim submission through payment posting and collection of reimbursements from insurance carriers
- Experience in denial management and accounts receivable follow-up for facility claims
- Experience billing for hospital, outpatient, ambulatory surgery center (ASC), emergency department, or other facility-based services
- Strong analytical, organizational, and problem-solving skills
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment
Preferred Qualifications
- Familiarity with Medicare, Medicaid, and commercial payer guidelines for institutional/facility billing
- Familiarity with EMR/EHR systems and billing platforms
- Experience working with multiple client systems or high-volume accounts
- Ability to adapt to changing processes and maintain high accuracy
Who We Are:
unifyCX is an emerging Global Business Process Outsourcing company with a strong presence in the U.S., Colombia, Dominican Republic, India, Jamaica, Honduras, and the Philippines. We provide personalized contact centers, business processing, and technology outsourcing solutions to clients worldwide. In nearly two decades, unifyCX has grown from a small team to a global organization with staff members all over the world dedicated to supporting our international clientele.
At unifyCX, we leverage advanced AI technologies to elevate the customer experience (CX) and drive operational efficiency for our clients. Our commitment to innovation positions us as a trusted partner, enabling businesses across industries to meet the evolving demands of a global market with agility and precision.
unifyCX is a certified minority-owned business and an EOE employer who welcomes diversity.
