Job Details
We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team
The ideal candidate will be responsible for accurately and efficiently handling medical billing processes, including claim submission, payment posting, and accounts receivable management
The Medical Billing Specialist will work closely with healthcare providers, insurance companies, and patients to ensure timely and accurate billing and reimbursement.
Key Responsibilities:
Process and submit medical claims to insurance companies electronically or by paper submission.
Verify insurance coverage and obtain any necessary authorizations or referrals.
Review medical documentation to ensure proper coding and billing according to payer guidelines and regulatory requirements (ICD-10, CPT, HCPCS).
Follow up on unpaid or denied claims and resubmit as necessary.
Post payments and adjustments to patient accounts accurately and in a timely manner.
Reconcile accounts receivable to ensure accuracy and completeness.
Respond to billing inquiries from patients, insurance companies, and internal staff professionally and promptly.
Research and resolve billing discrepancies or disputes.
Stay up-to-date on changes in healthcare regulations, coding guidelines, and insurance policies.
Assist with month-end closing activities and financial reporting as needed.
Collaborate with other departments, such as medical coding and revenue cycle management, to improve billing processes and resolve issues.
Maintain confidentiality of patient information and adhere to HIPAA guidelines.
Qualifications:
High school diploma or equivalent required; associate or bachelor s degree preferred.
Certification in medical billing and coding (e.g., Certified Professional Biller, Certified Coding Specialist) preferred.
Minimum of [insert number] years of experience in medical billing and coding in a healthcare setting.
Proficiency in medical terminology, ICD-10, CPT, and HCPCS coding.
Experience with electronic health record (EHR) and practice management systems (e.g., Epic, Cerner, Meditech).
Strong understanding of insurance billing and reimbursement processes.
Excellent communication and interpersonal skills.
Ability to work independently and as part of a team in a fast-paced environment.
Detail-oriented with a high level of accuracy and problem-solving skills.
Proficient in Microsoft Office suite (Word, Excel, Outlook).