Medical Billing Specialist

2 weeks ago


Memphis, Tennessee, United States HighFive Healthcare Full time
Job Overview

At HighFive Healthcare, we pride ourselves on delivering exceptional patient care and maintaining high standards of service. Our practice thrives on the dedication of our professionals who ensure that every patient receives a remarkable experience.

Our staff operates with a blend of independence and teamwork, contributing to our overall success. Each team member is encouraged to be proactive and well-prepared, fostering an environment of collaboration and efficiency. We recognize the significance of a healthy work-life balance, striving to provide top-notch care while also valuing personal time to recharge and perform at their best.

Position Responsibilities

Key Requirements for the Insurance Billing & Verification Coordinator:

  • High School Diploma or equivalent is mandatory.
  • Preferred certification in Medical Billing & Coding.
  • A minimum of 3 years of experience in billing and verification within Oral Surgery, particularly with complex cases.
  • Experience coordinating medical and dental benefits, including resolving unpaid claims through thorough investigation and communication with insurance providers.
  • Proficient in electronic health records (EHR) and dental/medical billing software.
  • Strong understanding of dental and medical insurance policies, billing practices, and coding standards.
  • Excellent analytical capabilities, attention to detail, and strong organizational and time management skills.
  • Outstanding written, verbal, and interpersonal communication skills with colleagues, insurance representatives, and patients.
  • Familiarity with Excel, Google Sheets, and other spreadsheet software is advantageous, as these tools are utilized regularly in this role.
  • Manage all facets of dental and medical billing processes, including filing insurance claims, posting Explanation of Benefits (EOBs), and overseeing patient accounts receivable.
  • Engage with insurance carriers and utilize insurance portals to manage accounts receivable (AR) and verify benefits.
  • Process insurance claims for oral and maxillofacial procedures, including intricate surgical cases.
  • Follow up on outstanding claims, investigate and rectify discrepancies, and appeal denied claims.
  • Stay informed about current insurance policies, procedures, and coding guidelines (CPT, ICD-10, and CDT codes).
Employee Benefits
  • Comprehensive Health, Dental, and Vision Insurance
  • Generous Paid Time Off
  • 401k Plan with up to 4% company match


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