Medical Billing Specialist
We are seeking an experienced Billing Specialist to join our healthcare team. This role requires a thorough understanding of medical billing procedures, coding systems, and medical records management. The Billing Specialist plays a crucial part in maintaining the financial health of our practice while ensuring compliance with industry standards and regulations. Prior experience with EMR and EHR systems is highly desirable. This person would be responsible for managing the billing process, ensuring accurate coding, and facilitating timely reimbursement from insurance providers.
Duties
Prepare and submit claims using DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards
Review medical records to ensure accuracy and completeness for billing purposes
Verify insurance coverage and patient eligibility prior to claim submission
Follow up on unpaid claims and perform collections as needed to resolve outstanding balances
Maintain detailed documentation of billing activities within EMR/EHR systems
Collaborate with healthcare providers to clarify diagnoses or procedures requiring additional information
Ensure compliance with all federal and state regulations related to medical billing and coding
Reconcile accounts receivable and generate reports on billing status and collection efforts
Qualifications
Proven experience in medical billing, coding, or related healthcare administrative roles
Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and ICD coding systems
Familiarity with medical terminology and medical records management
Experience working with EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems
Excellent understanding of medical billing processes and insurance claim procedures
Ability to interpret complex medical documentation accurately
Strong attention to detail and organizational skills
Knowledge of medical collection practices and compliance regulations is preferred
This position offers an opportunity to contribute significantly to our healthcare operations by ensuring accurate billing processes while supporting patient care.
Job Type: Full-time
Work Location: In person
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Expected hours: 40 per week
Work Location: In person