Medical Billing and Collections Specialist

Medical Billing and Collections Specialist Keystone Pain Consultants - 4.0 Pittsburgh, PA Job Details Part-time | Full-time $18 - $24 an hour 2 hours ago Benefits Health savings account Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Flexible schedule Life insurance Qualifications Medical office experience ICD-10 Medical billing Patient billing Medical terminology Full Job Description Job Summary We are seeking a detail-oriented and highly motivated Medical Billing & Collections Specialist to join our in-house billing team for a growing pain management practice. This role will work closely alongside our Lead Billing Specialist to support billing operations, denial management, insurance follow-up, and collections workflows. The ideal candidate is organized, tech-savvy, proactive, and experienced in navigating medical billing systems and payer portals with minimal supervision. Duties Prepare and submit medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications. Review medical records and documentation to ensure proper coding accuracy for billing purposes. Follow up on unpaid or denied claims promptly, communicating with insurance companies to resolve discrepancies. Manage patient accounts by verifying insurance coverage, explaining billing procedures, and collecting payments or setting up payment plans. Maintain detailed records of all billing transactions, claim submissions, and collections activities within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems. Stay current with industry regulations and coding updates to ensure compliance with healthcare standards. Collaborate with medical office staff to ensure accurate documentation and facilitate smooth billing processes. Skills Strong knowledge of medical coding including CPT, ICD-9, ICD-10, and DRG classifications. Proficiency in medical billing procedures and collection strategies within a healthcare setting. Experience working with EMR/EHR systems for managing medical records and billing data. Excellent understanding of medical terminology and healthcare documentation standards. Ability to analyze insurance claims, identify issues, and implement effective resolution strategies. Effective communication skills for interacting with patients, insurance providers, and healthcare staff. Familiarity with medical office operations and procedures related to billing and collections. Join our team as a Medical Billing and Collections Specialist to play a crucial role in delivering seamless financial services that support quality patient care!

Pay:

$18.00 - $24.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Health savings account Life insurance Paid time off Vision insurance

Work Location:

Hybrid remote in Pittsburgh, PA 15243