Job Summary
We are seeking a dedicated and experienced Medical Billing Specialist/office manager to oversee the daily operations of new innovative ENT specialty practice focused on ears. The ideal candidate will possess strong leadership skills and a comprehensive understanding of medical office management, including experience in clinical settings and utilization management. This role is pivotal in ensuring efficient workflow, maintaining high standards of patient care, and managing administrative functions effectively. The ideal candidate will also be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth communication between healthcare providers, insurance companies, and patients. Your expertise will help optimize revenue cycles, improve patient satisfaction, and uphold the highest standards of medical billing and coding accuracy. This role is essential in maintaining the financial health of our ENT practice while ensuring compliance with industry regulations. Billing/coding experience is a must, however the operational managing of the practice may be learned/trained on site.
Job Overview
We are seeking a detail-oriented and organized Medical Billing Specialist to join our healthcare team. This job will begin as part-time working up to full-time as the volume of the practice increases as soon as possible.
Duties
- Manage the overall operations of the medical office, ensuring compliance with healthcare regulations and standards.
- Oversee budgeting processes and financial management to optimize resource allocation.
- Coordinate with healthcare providers to ensure effective utilization management and quality patient care.
- Maintain accurate medical records and ensure confidentiality in accordance with HIPAA regulations.
- Supervise staff, including training, scheduling, and performance evaluations to foster a productive work environment.
- Implement and manage electronic health record systems such as Practice Fusion and Tebra for streamlined operations.
- Collaborate with insurance companies for managed care agreements and billing processes.
- Ensure the office runs smoothly by addressing any issues related to acute care services or patient inquiries.
- Process and submit medical billing claims to insurance companies and government payers.
- Utilize coding systems such as ICD-10 ensure accurate billing.
- Review and verify medical records for completeness and accuracy before billing.
- Follow up on unpaid claims, perform medical collections, and resolve discrepancies.
- Perform and follow-through on any any necessary pre-authorizations for imaging, procedures, etc.
- Maintain patient confidentiality while handling sensitive medical information.
- Collaborate with healthcare providers to clarify any discrepancies in medical records or billing issues.
- Stay updated on changes in medical billing regulations and coding practices.
Qualifications
- Proven experience as a Medical Billing Specialist and Office Manger/similar role in a hospital or medical office setting.
- Strong knowledge of medical records management, utilization management, and healthcare regulations.
- Familiarity with electronic health record systems (PracticeFusion and Kareo/Tebra) is highly desirable.
- Ensure all claims include correct coding such as CPT (Current Procedural Terminology), ICD-10, and ICD coding to maximize reimbursement
- Follow up on unpaid or denied claims through medical collections processes and resolve discrepancies efficiently
- Verify patient insurance coverage, benefits, and health insurance information to facilitate accurate billing
- Maintain detailed medical records, medical coding documentation, and billing records in compliance with healthcare regulations
- Collaborate with healthcare providers to clarify documentation or coding issues that may affect claim processing
- Excellent organizational skills with the ability to manage multiple tasks efficiently.
- Strong communication skills to interact effectively with patients, staff, and healthcare providers.
- Ability to work collaboratively within a team-oriented environment while demonstrating leadership capabilities.
- Proficiency in medical coding and familiarity with medical terminology is essential.
- Experience with medical collection processes and systems is advantageous.
- Strong attention to detail and organizational skills are required to manage multiple tasks effectively.
- Ability to work independently as well as part of a team in a fast-paced environment.
- Experience with ENT billing and hearing aid prior authorization, purchasing, collections is a plus.
We invite qualified candidates who are passionate about improving patient care through effective management practices to apply for this rewarding opportunity.
Job Types: Full-time, Part-time
Benefits (depending parttime versus fulltime status):
- 401(k)
- Health insurance
- Paid time off
Work Location: In person
Pay: $30.00 - $35.00 per hour
Benefits:
Work Location: In person
