Job Description

Medical Billing Specialist A confidential healthcare billing organization is seeking an experienced Medical Billing Specialist. This role is fast-paced and high-volume, requiring exceptional accuracy, claim resolution skills, and a thorough understanding of insurance processes and coding guidelines.Key ResponsibilitiesWork aged accounts, verify insurance benefits, and resolve outstanding claimsReview, correct, and resubmit denied claims to ensure timely reimbursementManage unpaid patient balances and follow medical collection best practicesApply accurate ICD-10 coding for diagnoses and proceduresProcess daily medical billing for services rendered by providersHandle refund requests and maintain compliance with billing and coding regulationsCollaborate with clinical and administrative teams to ensure complete and accurate billing dataConfirm insurance coverage and obtain authorizations when neededRequired QualificationsProven success in claim resolution and follow-upMediClear Certification or equivalent HIPAA/privacy certificationStrong knowledge of ICD-10 and medical billing proceduresFamiliarity with medical terminology, coding guidelines, and collection processesExceptional attention to detail and accuracyAbility to work efficiently in a high-volume environment and meet quotasEPIC experience preferred but not requiredBenefits401(k) employer matchingMedical, dental, and vision insurancePaid time off #J-18808-Ljbffr

Job Tags

Similar Jobs