
Medical Billing Specialist
4 days ago
The role of a Medical Billing Specialist involves handling medical billing processes, ensuring compliance with healthcare regulations, and maintaining high-quality standards in all billing procedures.
Key Responsibilities:
- Coding and Claims Management: 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.
- Payment and Reconciliation: 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.
- Patient Communication: Generate patient statements, answer billing inquiries, and assist patients with payment plans or financial arrangements as needed.
Requirements and Qualifications:
To excel in this role, you will need:
- Proven Experience: Proven experience as a Medical Biller in a US healthcare setting or similar role.
- Technical Skills: Proficiency in medical billing software and electronic health records (EHR/EMR) systems.
- Knowledge and Compliance: In-depth knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance billing procedures. Strong understanding of healthcare compliance and privacy regulations (HIPAA).
- Communication and Analytical Skills: 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.
- Educational Background: Bachelor's degree in business administration or related field.
- Additional Requirements: Must Have 2 to 3 Year Experience, Knowledge of Medicare, Medicaid, IPAs & Medicare advantage plans, Proficiency in Microsoft Office Suite and other relevant software.
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