Job Overview
We are seeking a detail-oriented and motivated Medical Billing and Coding Specialist to join our healthcare team. In this vital role, you will be responsible for the full revenue cycle management process, focusing on analyzing aging accounts receivable data to identify reasons for pending claims and top denial reasons. You will review third party claims for accuracy and completeness and work directly with insurance companies to maximize reimbursement. This position offers an exciting opportunity to apply your knowledge of medical terminology, coding systems, and billing procedures in a dynamic healthcare environment.
Duties
- Accounts receivable: Call insurance companies to follow up on outstanding AR and check claim status
- Denials: Review, appeal, and resolve denied or partially paid claims. Follow up on unpaid or denied claims.
- Billing: Verify, correct and process statements, ensuring accuracy of payment posting and EOB/ERA interpretation
- Verify patient insurance coverage, benefits, and eligibility prior to service delivery
- Stay current with updates to ICD coding guidelines, CPT coding changes, and other regulatory requirements in medical billing
- Performs other duties and projects as assigned
Qualifications
- Minimum one year medical office billing experience
- Strong knowledge of ICD-10, CPT, medical terminology, etc.
- Experience working with EMR/EHR systems for billing and record keeping
- Excellent attention to detail to ensure accurate coding and billing submissions
- Ability to interpret complex insurance policies and navigate medical collection procedures
- Effective communication skills for collaborating with healthcare providers, insurance companies, and patients
Benefits:
- 401(k)
- Health insurance
- Paid time off
- Retirement plan
Work Location: In person
