Medical Billing Professional
3 days ago
As a skilled Healthcare Billing Specialist, you will be responsible for accurately and efficiently handling medical billing processes, ensuring compliance with healthcare regulations, and maintaining high-quality standards in all billing procedures.
Responsibilities:
- Accurately assign appropriate medical codes (CPT, ICD-10, HCPCS) to diagnoses and procedures for timely reimbursement.
- Prepare and submit claims to insurance companies, ensuring accuracy, completeness, and adherence to payer requirements.
- Monitor outstanding claims and follow up with insurance companies to resolve billing issues, denials, or rejections.
- Post payments, adjustments, and denials accurately in the billing system, reconciling discrepancies and ensuring proper documentation.
- Generate patient statements, answer billing inquiries, and assist patients with payment plans or financial arrangements as needed.
- Stay updated with healthcare regulations, coding guidelines, and insurance policies to ensure compliance and minimize billing errors.
Requirements:
- Proven experience as a Medical Biller in a US healthcare setting or similar role.
- Proficiency in medical billing software and electronic health records (EHR/EMR) systems.
- In-depth knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance billing procedures.
- Strong understanding of healthcare compliance and privacy regulations (HIPAA).
- Excellent communication skills with the ability to interact professionally with patients, insurance companies, and healthcare providers.
- Detail-oriented, analytical mindset, and ability to work efficiently in a fast-paced environment.
- Must Have 2 to 3 Year Experience.
- Knowledge of Medicare, Medicaid, IPAs & Medicare advantage plans.
- Proficiency in Microsoft Office Suite and other relevant software.
Qualifications:
Bachelor's degree in business administration or related field.
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