Overview
We are seeking a dedicated and detail-oriented Medical Billing Specialist to join our dynamic healthcare team. In this role, you will be responsible for managing the entire billing process, ensuring accurate coding, claims submission, and follow-up to optimize revenue cycle management. Your expertise in medical coding, insurance procedures, and customer service will be essential in providing seamless financial operations and excellent support to patients and healthcare providers alike. This position offers an exciting opportunity to contribute to a thriving healthcare environment where your skills directly impact patient care and organizational success.
Responsibilities
- Review and accurately assign medical codes using DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems for various medical procedures and diagnoses.
- Prepare and submit healthcare claims efficiently using billing software integrated with EMR (Electronic Medical Records) and EHR (Electronic Health Record) systems.
- Verify insurance coverage, process medical collections, and follow up on unpaid or denied claims to ensure timely reimbursement.
- Maintain comprehensive medical records, ensuring all documentation complies with healthcare regulations and standards.
- Communicate effectively with healthcare providers, insurance companies, and patients to resolve billing discrepancies or inquiries with professionalism and clarity.
- Stay updated on health insurance policies, coding changes, and billing regulations to ensure compliance and accuracy in all transactions.
- Utilize Microsoft Office tools for reporting, data analysis, and record keeping as needed.
Experience
- Proven experience in medical billing with a strong understanding of healthcare claims management processes.
- Familiarity with DRG, CPT coding, ICD-9/ICD-10 coding standards, and ICD coding practices.
- Hands-on experience working with EMR/EHR systems and billing software platforms.
- Knowledge of medical terminology, medical records management, and health insurance procedures.
- Excellent customer service skills with the ability to communicate complex information clearly.
- Prior medical office experience is preferred but not mandatory; a strong willingness to learn is essential.
- Demonstrated ability to handle sensitive information discreetly while maintaining accuracy under deadlines.
Join us in a role that combines technical expertise with compassionate service delivery! Your contributions will help streamline our billing processes while supporting our commitment to quality patient care. We value energetic professionals eager to grow their careers in a fast-paced healthcare environment where every detail matters!
Pay: $25.42 - $30.62 per hour
Work Location: In person
