Medical Billing Specialist

Job Summary:

We are seeking a detail-oriented and experienced Medical Billing Specialist to manage the financial aspects of patient care. This role is responsible for processing insurance claims, generating invoices, and ensuring accurate and timely billing practices. The ideal candidate will serve as a liaison between patients, insurance companies, and healthcare providers, helping navigate the complexities of medical billing to ensure efficient reimbursement.

Key Responsibilities:

Claim Processing:

Prepare and submit primary and secondary insurance claims, ensuring accuracy and completeness.

Data Entry & Coding:

Utilize

ICD, CPT, HCPCS

codes, and modifiers to accurately represent diagnoses, procedures, and services.

Payment Posting:

Record and post payments from insurance providers and patients.

Account Management:

Maintain patient accounts, manage payment plans, and support collections efforts.

Patient Communication:

Respond to billing inquiries, coordinate benefits, and update patient information as needed.

Insurance Verification:

Verify and update patient insurance coverage and benefits.

Compliance:

Ensure adherence to healthcare regulations, including HIPAA, and stay current with billing guidelines. Other duties as assigned.

Qualifications:

High School Diploma or GED required Associate's degree preferred 1-3 years of medical billing or related experience

Required Skills:

Strong knowledge of medical billing practices, terminology, and coding systems Excellent communication skills with patients, insurers, and healthcare professionals High attention to detail and accuracy Strong problem-solving abilities for resolving billing discrepancies and claim denials Proficiency with billing software and Electronic Health Records (EHR) systems Strong organizational and multitasking skills Analytical mindset with the ability to identify trends and issues in billing data

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person