Overview
This is a great opportunity to join the largest and rapidly growing Gastroenterology practice in West Alabama!
We are seeking a dynamic and dedicated Medical Insurance Billing Representative to join our healthcare team, providing high-quality patient care across diverse clinical settings. This position supports accounts receivable, payment posting, insurance verification, and prior authorization functions under the direction of the Billing Team Leader and the Director of Revenue Cycle Management. This role requires strong attention to detail, proficiency with billing and practice management systems, and the ability to work effectively across a teamwork environment.
Duties
- Prepare and submit healthcare claims using billing software, ensuring compliance with insurance requirements and coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) coding.
- Review medical records and documentation to accurately assign medical codes, including ICD (International Classification of Diseases) coding for diagnoses and procedures.
- Follow up on unpaid or denied claims through medical collections processes, working diligently to resolve discrepancies and secure payment.
- Verify patient insurance coverage, benefits, and eligibility using EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems.
- Maintain detailed records of billing activities, claim statuses, and correspondence within billing software and healthcare claims management systems.
- Communicate professionally with insurance companies, healthcare providers, and patients to clarify billing issues or obtain additional information.
- Stay current with healthcare regulations, insurance policies, and coding updates to ensure compliance and optimize reimbursement processes.
Skills/Competencies
- Strong knowledge of health insurance policies, medical terminology, and healthcare claims management.
- Proficient with standard office software/hardware and electronic documentation systems.
- Strong attention to detail and accuracy in documentation.
- Proficiency in medical coding including CPT, ICD-9/ICD-10 coding standards, DRG classifications, and ICD coding practices.
- Experience with medical billing software, EMR/EHR systems, and Microsoft Office applications for documentation and reporting.
- Excellent customer service skills with the ability to communicate complex billing information clearly and professionally.
- Professional verbal and written communication skills; ability to interact professionally and respectfully with clinical staff, administration, doctors, co-workers, patients, and medical insurance carriers.
- Ability to manage multiple tasks efficiently and adapt to changing operational demands.
- Ability to manage time efficiently and effectively and meet daily operational requirements.
- Familiarity with medical records management, medical collection procedures, and healthcare reimbursement processes.
- Ability to interpret medical documentation accurately for coding purposes while maintaining compliance with industry standards.
- Ability to maintain confidential information and handle sensitive information in compliance with HIPAA; ability to manage difficult or emotional client/patient situations.
- Prior experience in a medical office environment or healthcare setting is highly preferred.
Physical Requirements
- Must be able to stand, walk, stoop, bend, lift, and move continuously throughout the facility; must be able to lift and carry approximately 15 lbs.
- Hearing and vision must be normal or corrected to within normal range.
Benefits
- Health, dental, vision, life, disability, holidays, PTO, 401(k) w/ match.
Experience
- One to two years experience preferred
- High school graduate required
- Coursework or certification in medical billing, coding, or healthcare administration preferred
Equal Employment Opportunity Employer
Pay: $19.00 - $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
