**Job Title:** Medical Billing Specialist
**Job Type:** Full time
**Job Summary:**
We are seeking a detail-oriented and experienced Medical Billing Specialist to join our healthcare team. The ideal candidate will have a strong understanding of medical billing procedures, coding, and insurance regulations. This position will be responsible for managing the billing process, ensuring accurate claim submission, and addressing any discrepancies that arise in a timely manner. At least 2 years of medical billing experience is required.
**Key Responsibilities:**
- Process and submit medical claims to insurance companies and government payers in accordance with established guidelines.
- Review and verify patient information, insurance coverage, and medical codes to ensure the accuracy of billing.
- Perform coding using ICD-10, CPT, and HCPCS codes for outpatient and/or inpatient procedures to guarantee compliance with insurance standards.
- Resolve billing issues by communicating with healthcare providers, insurers, and patients to rectify discrepancies and ensure timely payment.
- Track and follow up on outstanding claims, denials, and payments, ensuring prompt resolution and appeals when necessary.
- Maintain accurate records of billing transactions and patient accounts, while ensuring confidentiality and compliance with HIPAA regulations.
- Assist in identifying and implementing process improvements to enhance billing accuracy and efficiency.
- Prepare and present reports on billing activities, account status, and collection metrics to management.
- Stay current with industry standards, coding updates, and payer policies to ensure compliance and optimize revenue cycle processes.
**Qualifications:**
- High school diploma or equivalent; an associate degree in health information technology or a related field preferred.
- Certification as a Certified Medical Billing Specialist (CMBS) or similar credentials is highly desirable.
- Minimum of [insert years] years of experience in medical billing, coding, or a related field, preferably within a healthcare setting.
- Proficiency in electronic health record (EHR) systems and medical billing software (e.g., Epic, Cerner, McKesson).
- Strong knowledge of medical terminology, coding practices, insurance procedures, and compliance regulations.
- Excellent analytical skills with attention to detail and accuracy in billing processes.
- Strong communication and interpersonal skills to work effectively with both patients and healthcare providers.
- Ability to work independently, manage time effectively, and handle multiple tasks in a fast-paced environment.
**Benefits:**
- Competitive salary based on experience
- Health, dental, and vision insurance
- Retirement savings plan
- Paid time off and holidays
- Continuing education opportunities
**Application Process:**
To apply for the Medical Billing Specialist position, please submit your resume and a cover letter detailing your relevant experience. We look forward to reviewing your application!
**This is an equal opportunity employer and celebrates diversity in our workforce.**
*****Please note that this is NOT a remote position.*****
Who We Are: As a leading senior care provider, Senior Helpers is the first national in-home care company to be recognized as a GREAT PLACE TO WORK 3 years in a row! Senior Helpers culture is based on strong core values, recognition of achievements, and respect.Benefits...
...Everlight Solar is seeking a hardworking individual to fill the role of Construction Assistant. We are looking for a dependable individual that is passionate about developing lifelong skills and is seeking an entry-level position into the solar industry. Everlight...
**Security Officer**We help make your world a safer place.Securitas is a global company that offers the most advanced and sustainable... ...our culture, help define who we are and guide our actions.No experience necessary! If you have retail, food service or hospitality...
...locations Job Requirements: ~ Associates Degree in accounting or finance field ~1+ years of hands-on experience related to payroll, customer invoicing, accounts payable, and general accounting/bookkeeping ~ Strong Excel skill ~ experience in QuickBooks...
...be expected to be able work on their feet for several hours at a time and lift potentially heavy objects when necessary. Requirements/... ...deliveries. Maintains trash cans throughout shift and removes full trashcans and boxes at the end of each shift. Maintains the dry...