Healthcare Billing Specialist

2 weeks ago


Dover, Delaware, United States Randstad Full time
Job Overview

We are looking for a meticulous and committed Healthcare Billing Specialist to oversee the complete medical billing cycle. This role includes generating accurate medical claims submissions and ensuring timely payments. The successful candidate will extract clinical data from various medical records and apply the correct ICD-10 and/or CPT-4 codes to incomplete medical claims. The ideal candidate will be responsible for managing the entire billing process, from claim submission to payment collection.

Position Status: Full Time, 40 Hours/Week

Work Schedule: Days - Monday to Friday, 8 AM to 5 PM

Salary Range: Hourly, based on experience, typically between $19 - $28 per hour.

Key Responsibilities:

  • Accurately code medical billing claims generated from the Electronic Medical Record (EMR) and ensure correct submission on the first attempt.
  • When necessary, extract data from patient medical records to ensure comprehensive diagnosis coding and charge capture.
  • Review and analyze records for discrepancies and rectify them promptly.
  • Identify and confirm medical necessity based on updated medical policies from insurance providers.
  • Communicate any issues that may lead to reimbursement loss or errors to the appropriate channels.
  • Maintain daily accounts receivable functions and address any revenue cycle challenges related to medical billing.

Required Qualifications:

  • Education: High School Diploma or GED, with a Certificate in Medical Coding & Billing.
  • Experience: Previous experience in an office setting is required.
  • Preferred: Familiarity with EPIC and 3-6 years of experience in comprehensive medical billing functions.

Essential Skills:

  • EPIC (minimum 3 years of experience required)
  • EHR/Epic proficiency
  • EMR (minimum 3 years of experience required)
  • Medical Billing (minimum 3 years of experience required)
  • ICD-10 coding (minimum 3 years of experience required)
  • CPT Codes (minimum 3 years of experience required)

Randstad is a leading organization dedicated to connecting talented individuals with outstanding companies. Our experienced team is committed to understanding your employment needs and matching your skills with the right opportunities. We offer various employment types, including temporary, temporary-to-permanent, and permanent positions.

Equal Opportunity Employer: We celebrate diversity and are committed to creating an inclusive environment for all employees.

This job posting is open for a limited time.



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