Medical Billing Specialist
6 days ago
Estimated Salary: $60,000 - $80,000 per year.
OverviewSymmetrio is a leading provider of medical services, seeking a skilled and detail-oriented Medical Billing Specialist to join our team. As a key member of our staff, you will play a crucial role in ensuring the smooth operation of our billing process.
Responsibilities- Billing and Coding:
- Prepare and submit accurate medical claims to insurance companies, government payers, and patients.
- Utilize ICD-10, CPT, and HCPCS codes specific to neurology to ensure compliance and maximize reimbursement.
- Verify accuracy of diagnosis and procedure codes, and address coding discrepancies.
- Claims Management:
- Monitor, track, and follow up on submitted claims to ensure prompt payment.
- Address denied or rejected claims by investigating and correcting errors.
- Resubmit corrected claims as needed and escalate unresolved issues.
- Patient Billing and Support:
- Generate and send patient statements in a timely manner.
- Respond to patient inquiries regarding bills, insurance, and payment plans.
- Assist patients in understanding their financial responsibilities and facilitate payment options.
- Insurance Verification and Pre-authorization:
- Verify patient insurance coverage prior to appointments and treatments.
- Secure pre-authorization for procedures and medications as required.
- Financial Reporting:
- Maintain accurate records of billing activities and generate financial reports for management.
- Identify and report trends in claims denials or delays.
- High school diploma or equivalent; an Associate's degree in healthcare administration or a related field is preferred.
- Certification in medical billing and coding (e.g., CPC, CCS) is highly desirable.
- Minimum of 2 years of experience in medical billing, preferably in neurology or a specialty practice.
- Proficiency in medical billing software and electronic health records (EHR) systems.
- Strong knowledge of insurance guidelines, including Medicare and Medicaid.
- Exceptional attention to detail, organizational, and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to handle sensitive and confidential information professionally.
- Competitive salary and performance-based bonuses.
- Comprehensive health, dental, and vision insurance.
- Retirement plan with employer match.
- Paid time off and holidays.
- Professional development opportunities.
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