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Medical Billing Specialist

2 months ago


Crystal River, Florida, United States PedIM Healthcare Full time

About Us:

PedIM Healthcare is a leading provider of high-quality healthcare services. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team.

Key Responsibilities:

  • Review and process medical claims for accuracy and completeness.
  • Verify patient billing data and resolve any discrepancies.
  • Generate and submit insurance claims to payers promptly.
  • Follow up on unpaid or denied claims and handle appeals as needed.
  • Work with patients to address billing inquiries and provide assistance with understanding their medical bills.
  • Stay up-to-date with medical billing codes, regulations, and compliance standards.
  • Collaborate with healthcare providers and insurance companies to resolve billing issues.
  • Prepare and maintain patient billing records and update information as necessary.

Requirements:

  • High school diploma or equivalent; associate's degree or relevant certification is a plus.
  • Proven experience as a Medical Billing Specialist in a healthcare setting.
  • Strong knowledge of medical billing and coding procedures.
  • Proficiency in medical billing software and electronic health record (EHR) systems.
  • Excellent mathematical and data entry skills.
  • Exceptional attention to detail and problem-solving abilities.
  • Strong interpersonal and communication skills for patient interaction.
  • Ability to work independently and meet deadlines.
  • Familiarity with insurance claim submission and payer requirements.

Work Environment:

This is a full-time position that reports to the Billing Manager. The schedule is Monday through Friday, 8:30 AM to 5:00 PM.