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Medical Claims Specialist

1 month ago

Champaign, Illinois, United States gpac Full time

Medical Billing and Coding Specialist Job Description

**Job Summary:**

We are seeking a detail-oriented and organized Medical Billing and Coding Specialist to join our team at GPAC. As a Medical Billing and Coding Specialist, you will be responsible for accurately preparing and submitting medical claims to insurance companies and ensuring timely reimbursement.

**Responsibilities:**

* Review patient information and medical records to accurately code diagnoses and procedures
* Prepare and submit medical claims to insurance companies
* Verify insurance eligibility and coverage for patients
* Follow up on unpaid claims and denials, and appeal when necessary
* Resolve billing discrepancies and answer patient inquiries regarding their bills
* Keep up-to-date with changes in medical billing codes and regulations
* Maintain patient confidentiality and adhere to HIPAA guidelines

**Requirements:**

* High school diploma or equivalent; associate degree in healthcare administration or related field is a plus
* Proven experience as a Medical Billing and Coding Specialist or in a similar role
* In-depth knowledge of medical billing codes (CPT, ICD-10, HCPCS) and insurance guidelines
* Familiarity with medical terminology and procedures
* Strong attention to detail and accuracy
* Excellent communication and interpersonal skills
* Proficiency in using medical billing software and electronic health records (EHR) systems
* Ability to work independently and collaboratively in a team environment
* Knowledge of HIPAA regulations and patient privacy laws

**What We Offer:**

We offer competitive compensation and benefits packages. If you are a self-motivated individual with a passion for medical billing and coding and want to contribute to a dynamic healthcare team, we would love to hear from you.

**Equal Employment Opportunity:**

GPAC is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused, and realize that our value is in our ability to deliver the right solutions at the right time.