Medical Billing Specialist
4 weeks ago
We are seeking an experienced and dynamic Permanent Medical Biller to join our fast-paced healthcare team. The ideal candidate will be responsible for managing all aspects of medical billing, from patient admission to payment reconciliation. This includes coding medical records, submitting claims, following up on unpaid claims, and resolving any billing issues. This position requires a deep understanding of medical terminology, coding, and the healthcare industry's billing procedures. Our ideal candidate is a certified coder with a minimum of 5 years of experience in the medical billing field.
Responsibilities:
- Accurately code all procedures and diagnoses for patients' medical records.
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Follow up on unpaid claims within standard billing cycle timeframe.
- Check each insurance payment for accuracy and compliance with contract discounts.
- Identify and bill secondary or tertiary insurances.
- Review all insurance claim denials and patient billing disputes to determine if appeal is needed.
- Resolve patient complaints related to billing; explain charges, payments, denials, and outstanding balances.
- Collaborate with insurance companies and healthcare providers to resolve any discrepancies or issues.
- Maintain patient confidentiality and adhere to all federal and state regulations regarding medical information.
- Keep up-to-date with changes in billing regulations, coding guidelines, third-party payment policies, and federal compliance standards.
Qualifications:
- Certified Professional Coder (CPC) or equivalent certification is required.
- Minimum of 5 years of experience in medical billing or a related field.
- Proficiency in medical coding systems and healthcare billing procedures.
- Strong knowledge of medical terminology, ICD-10, and CPT coding.
- Excellent organizational skills, attention to detail, and the ability to multitask.
- Outstanding communication and interpersonal skills to interact with patients, medical professionals, and insurance companies.
- Proficiency in using medical software, billing systems, and electronic health record systems.
- Familiarity with HIPAA regulations and ensuring patient confidentiality.
- Ability to work independently and make decisions under minimal supervision.
- Strong problem-solving skills and the ability to handle patient complaints and disputes effectively and professionally.
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