Medical Billing Specialist
4 days ago
Salary: $65,000 - $85,000 per year
About Surgery PartnersWe are a leading healthcare provider offering high-quality surgical services. Our team is dedicated to delivering exceptional patient care and outcomes.
Job DescriptionThe Medical Billing Specialist will be responsible for performing all billing functions for primary and secondary insurances. This includes interacting with business office staff and facility staff to obtain necessary information for clean claim submission. Key responsibilities include resolving claim edits and exclusions, understanding billing guidelines and payor requirements, and performing prior authorization functions as needed.
- Resolve claim edits and exclusions in a timely manner to ensure accurate payment
- Stay up-to-date on billing guidelines and payor requirements to ensure compliance
- Perform prior authorization functions as needed to facilitate smooth claims processing
Requirements
- High School Diploma required; 3-5 years experience in billing and collections in a medical setting preferred
- Experience in healthcare insurance billing and verification, collections, and authorizations
- Billing/coding certification preferred but not required
Skills and Qualifications
- Strong interpersonal and organizational skills
- Knowledge of medical terminology and CPT/ICD-10 coding
- Adequate understanding of billing and coding rules and regulations
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