Medical Biller Specialist
4 days ago
We are seeking a highly skilled and experienced Medical Biller to join our team at W3Global Inc. as a key member of our healthcare revenue cycle operations.
Key Responsibilities- Claim Processing: Accurately and efficiently process a high volume of medical insurance claims, both in-network and out-of-network, to ensure timely reimbursement.
- Coding and Compliance: Ensure accurate coding of medical procedures and diagnoses using the appropriate coding systems (CPT, ICD-10) and maintain compliance with all federal and state regulations related to medical billing and coding.
- Insurance Verification and Patient Billing: Verify patient insurance coverage and eligibility prior to treatment and prepare and send patient bills, follow up on outstanding balances, and handle patient inquiries regarding billing.
- Denial Management and Reporting: Research and appeal denied claims to maximize reimbursement and generate and analyze billing reports to identify trends and areas for improvement.
- Experience: Minimum of 5 years of experience in medical billing, with a strong preference for experience in the orthopedic specialty.
- Skills: Proficient in medical coding (CPT, ICD-10), insurance verification, claim processing, and denial management. Strong organizational and time management skills. Excellent communication and interpersonal skills. Ability to work independently and as part of a team. Proficiency in electronic health record systems.
- Education: High school diploma or equivalent required. Associate's degree in medical billing or a related field preferred.
- Certification: Certified Coder (CPC) or Certified Medical Biller (CMB) certification is a plus.
- Competitive Salary and Benefits: A comprehensive compensation package that includes a competitive salary and benefits.
- Opportunities for Growth and Development: A supportive and collaborative work environment that fosters professional growth and development.
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