Healthcare Billing Specialist
2 weeks ago
Position Summary:
W3Global Inc is in search of a dedicated and skilled Healthcare Billing Specialist to enhance our outpatient physical therapy services. The ideal candidate will possess a comprehensive understanding of billing protocols, especially within the orthopedic sector, and demonstrate a successful history in managing out-of-network claims.
Key Responsibilities:
- Claims Management: Efficiently process a substantial volume of medical insurance claims, encompassing both in-network and out-of-network submissions.
- Coding Accuracy: Ensure precise coding of medical services and diagnoses utilizing the relevant coding systems (CPT, ICD-10).
- Insurance Assessment: Confirm patient insurance coverage and eligibility prior to the commencement of treatment.
- Patient Invoicing: Generate and dispatch patient invoices, follow up on unpaid balances, and address patient inquiries related to billing.
- Denial Resolution: Investigate and appeal denied claims to optimize reimbursement outcomes.
- Record Maintenance: Uphold accurate and current patient records and billing data within the electronic health record system.
- Reporting Analysis: Create and evaluate billing reports to pinpoint trends and opportunities for enhancement.
- Regulatory Compliance: Remain informed about all federal and state regulations pertaining to medical billing and coding.
Qualifications:
- Experience: At least 5 years of experience in medical billing, with a strong emphasis on orthopedic billing.
- Skills: Expertise in medical coding (CPT, ICD-10), insurance verification, claims processing, and denial management. Strong organizational and time management abilities. Excellent communication and interpersonal skills. Capability to work autonomously and collaboratively. Proficiency in electronic health record systems.
- Education: High school diploma or equivalent required. An associate's degree in medical billing or a related discipline is preferred.
- Certification: Certification as a Coder (CPC) or Certified Medical Biller (CMB) is advantageous.
Benefits:
- Competitive salary and comprehensive benefits package.
- Opportunities for professional advancement and development.
- A supportive and collaborative workplace culture.
If you are a committed and experienced Healthcare Billing Specialist with a passion for the healthcare sector and a dedication to delivering outstanding patient service, we encourage you to consider this opportunity.
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