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Revenue Cycle Specialist / Experienced Medical Biller
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Orthopedic Practice
Merrillville, IN (In Person)
$48,880 Salary, Full-Time
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Job Description
Job Overview We are seeking a dynamic and detail-oriented Revenue Cycle Specialist / Experienced Medical Biller to join our healthcare team. In this vital role, you will be responsible to ensure accurate and timely reimbursement for medical services. Your expertise will help optimize revenue flow, improve collections, and maintain compliance with industry standards. If you thrive in a fast-paced environment and possess a passion for medical billing and coding, this is your opportunity to make a meaningful impact in patient care and organizational success. Duties Review and analyze medical records to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision) codes, CPT (Current Procedural Terminology) codes, and DRG (Diagnosis-Related Group) classifications for accurate billing. Prepare and submit claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring all documentation aligns with payer requirements. Follow up on unpaid or denied claims by conducting thorough medical collections efforts, appealing rejections, and resolving discrepancies promptly. Verify patient insurance coverage, eligibility, and benefits prior to service delivery to facilitate smooth reimbursement processes. Maintain detailed records of billing activities, claim submissions, adjustments, and payments within medical records systems. Collaborate with healthcare providers to clarify documentation issues related to ICD coding, medical terminology, or procedural details that impact billing accuracy. Stay current with industry regulations including updates to ICD-9 (if applicable), ICD-10 coding standards, and payer policies to ensure compliance. Skills Extensive knowledge of medical coding including