Medical Billing Specialist

2 weeks ago


Los Angeles, United States Cardinal Health Full time
Job DescriptionJob DescriptionOverviewA Medical Billing Specialist plays a crucial role in a healthcare organization, as they are responsible for accurately billing patients and insurance companies for medical services rendered. This role is essential for ensuring that the organization receives proper compensation for the care provided and maintains financial stability. The Medical Billing Specialist must be detail-oriented, knowledgeable about medical coding and insurance procedures, and possess strong communication skills to effectively interact with patients and insurance companies.Key responsibilities
  • Review and verify accuracy of billing data and revise any errors.
  • Prepare and submit claims to insurance companies.
  • Follow up on unpaid claims and resubmit as necessary.
  • Process payments from insurance companies and patients.
  • Research and appeal denied claims.
  • Communicate with patients to address billing inquiries and resolve payment issues.
  • Maintain confidentiality of patient information and comply with HIPAA regulations.
  • Stay updated on coding and billing guidelines and regulations.
  • Collaborate with other healthcare professionals to ensure accurate billing.
  • Generate reports on billing activity and financial performance.
Required qualifications
  • Associate’s degree in Medical Billing or related field.
  • Certification in Medical Billing and Coding is a plus.
  • Proven experience as a Medical Billing Specialist or in a similar role.
  • Proficiency in medical coding systems (e.g., ICD-10, CPT).
  • Thorough understanding of insurance procedures and guidelines.
  • Excellent knowledge of billing software and electronic health records (EHR).
  • Strong analytical and problem-solving abilities.
  • Ability to work accurately and efficiently in a fast-paced environment.
  • Exceptional attention to detail and accuracy in data entry.
  • Effective communication skills, both written and verbal.
  • Ability to prioritize tasks and manage time effectively.
  • Knowledge of healthcare compliance and regulations, including HIPAA.
  • Adaptability to evolving healthcare billing practices.
  • Strong organizational and multitasking skills.
  • Customer service orientation and professional demeanor.

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