Job Overview
We are seeking a dynamic and detail-oriented Medical Billing Specialist to join our healthcare team. In this vital role, you will be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth financial operations. Your expertise will help optimize revenue cycles, improve patient satisfaction, and maintain compliance with healthcare regulations. If you thrive in a fast-paced environment and possess a passion for medical coding and billing, this opportunity is perfect for you to make a meaningful impact in patient care and organizational success.
Duties
- Prepare and submit accurate insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring adherence to coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
- Review medical records to verify the completeness and accuracy of documentation related to procedures, diagnoses, and treatments.
- Apply appropriate medical coding techniques to categorize services correctly, facilitating efficient reimbursement processes.
- Follow up on unpaid or denied claims by communicating with insurance companies and patients to resolve discrepancies or obtain additional information.
- Maintain detailed records of billing activities, payment histories, and collections to support audits and financial reporting.
- Collaborate with healthcare providers to clarify billing details or correct coding errors that may delay reimbursement.
- Stay updated on industry regulations, coding changes, and best practices to ensure compliance and optimize revenue recovery.
Qualifications
- Minimun 5 years of experience
- Proven experience in medical billing with a strong understanding of medical terminology, medical records management, and insurance processes.
- Proficiency in EMR/EHR systems along with familiarity with medical coding standards such as CPT coding, ICD-9/10 coding, DRG classification, and ICD coding.
- Knowledge of medical collection procedures and effective communication skills for patient follow-up.
- Ability to interpret complex medical documentation accurately and apply appropriate codes efficiently.
- Strong organizational skills with attention to detail to ensure accuracy in billing submissions and record keeping.
- Prior experience working in a medical office environment is preferred but not required.
- Certification in Medical Coding or Billing (such as CPC or equivalent) is a plus but not mandatory.
Join us as a Medical Billing Specialist and be part of a dedicated team committed to delivering exceptional healthcare services while advancing your career in a vibrant, supportive environment!
Pay: $23.38 - $25.00 per hour
Work Location: In person
