Medically Accurate Claims Processor
1 week ago
Are you a detail-oriented professional with a passion for healthcare?
Medical Billing Specialist- We are seeking an experienced Medical Billing and Coding Specialist to join our team remotely.
This role will be crucial in ensuring accurate and timely claim submissions to insurance companies, maximizing reimbursement, and maintaining compliance with all relevant regulations.
- Coding Expertise:
Accurately code patient encounters using ICD-10-CM, CPT, and HCPCS codes.
Review medical records to extract pertinent information for coding.
Ensure code accuracy and compliance with all coding guidelines and regulations. - Billing Professional:
Prepare and submit clean claims to insurance companies (both private and government).
Follow up on denied claims and appeal denials when necessary.
Monitor and track claim status and ensure timely reimbursement.
Prepare and submit patient statements for outstanding balances. - Data Entry and Maintenance:
Accurately enter patient demographics and insurance information into the electronic health record (EHR) system.
Maintain accurate patient records and billing data. - Compliance and Communication:
Stay updated on all relevant coding and billing regulations and guidelines.
Ensure compliance with HIPAA regulations and maintain patient confidentiality.
Communicate effectively with clinic staff regarding billing and coding issues.
- Education: High School Diploma or equivalent; Completion of a certified Medical Billing and Coding program preferred.
- Experience: Minimum of 2 years of experience in medical billing and coding in a physician's office or healthcare setting.
- Technical Skills: Proficiency in using electronic health record (EHR) systems and Microsoft Office Suite.
- Knowledge: In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, and anatomy.
- Other Skills: Excellent communication and interpersonal skills, strong attention to detail and accuracy, ability to work independently and as part of a team.
- Entry level
- Full-time
- Health Care Provider
- Industry: Healthcare
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