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Healthcare Billing Specialist
2 months ago
Overview:
We are looking for a meticulous and experienced Healthcare Billing Specialist to become a part of our organization. In this role, you will be tasked with the precise coding and billing of medical services and procedures. Your contribution will be vital in guaranteeing that healthcare providers receive prompt and accurate compensation for their services rendered.
Responsibilities:
- Assess and interpret medical documentation to identify suitable coding for services and procedures
- Allocate ICD10 codes to diagnoses and CPT codes to medical procedures
- Confirm patient insurance eligibility and secure necessary authorizations
- Prepare and dispatch claims to insurance providers through electronic means or postal services
- Monitor unpaid claims and denials, addressing any billing discrepancies or challenges
- Process payments from both insurance entities and patients, ensuring accurate application to patient accounts
- Maintain precise and current patient billing records
- Collaborate with healthcare professionals, insurance providers, and patients to resolve billing questions or conflicts
- Stay informed on changes in medical coding, billing regulations, and insurance protocols
Qualifications:
To thrive in this position, candidates should demonstrate the following qualifications:
- Expertise in medical billing software systems (e.g., Epic, Cerner)
- Comprehensive understanding of medical coding systems (ICD10, ICD9)
- Familiarity with medical terminology and healthcare procedures
- Knowledge of insurance claim submission processes and standards
- Exceptional attention to detail and precision in coding and billing
- Strong analytical and problem-solving capabilities
- Effective communication skills for interaction with healthcare professionals, insurance providers, and patients
- Ability to work autonomously as well as collaboratively within a team
If you are a committed professional with a focus on accuracy in healthcare billing, we encourage you to consider this opportunity.