Cath Lab Billing Specialist

Job description

We are seeking a versatile and highly organized individual to join our team as a Cath Lab Medical Billing Specialist . In this role, you will be responsible for accurately transcribing medical documentation, processing medical bills, and efficiently managing appointment schedules for our healthcare facility. Your ability to multitask, prioritize, and maintain attention to detail will contribute to the smooth operation of our practice. The ideal candidate will possess excellent communication skills, a deep understanding of medical billing procedures, and experience in appointment scheduling.

Responsibilities:

• Medical Transcription: Accurately transcribe medical reports, patient histories, physical examination findings, diagnostic test results, and other medical documentation using electronic or dictation-based systems.
• Ensure the correct formatting, grammar, and medical terminology are used in the transcriptions. Review and edit transcriptions for accuracy, consistency, and completeness.
• Medical Billing & Coding: Analyze patient records and medical documentation to assign appropriate medical codes using ICD-10, CPT, and HCPCS code sets.

Prepare and submit claims to insurance companies, government programs, and other payers.Verify insurance eligibility, coverage, and benefits for patients.Follow up on claim denials, resolve billing issues, and resubmit claims as necessary.Review and reconcile billing statements, remittance advice, and payment records to ensure accurate billing and reimbursement.Maintain confidentiality and adhere to HIPAA regulations when handling patient information.

• Appointment Scheduling: Manage and coordinate the appointment schedule for healthcare providers, ensuring efficient utilization of their time and resources.

Interact with patients to schedule, reschedule, and confirm appointments via phone, email, or in-person. Verify patient demographics, insurance information, and referral/authorization requirements during appointment scheduling.Maintain the appointment calendar, ensuring accurate recording of appointments, cancellations, and rescheduling. Communicate and collaborate with healthcare providers, nurses, and other staff members to accommodate urgent or specialized appointment requests.Provide patients with necessary appointment instructions, including any per-appointment preparations or documentation requirements.

• Communication and Collaboration: Collaborate with healthcare providers, physicians, nurses, and other staff members to clarify documentation and coding requirements.

Communicate with insurance companies, patients, and other stakeholders regarding billing inquiries, claim statuses, and payment-related matters. Assist patients in understanding billing statements, insurance coverage, and financial responsibilities. Provide guidance and education to healthcare providers on documentation requirements, coding guidelines, and appointment scheduling processes.

• Compliance and Quality Assurance: Stay updated with the latest changes and updates in medical coding, billing regulations, insurance industry practices, and appointment scheduling protocols.

Ensure compliance with relevant laws, regulations, and coding guidelines such as HIPAA, CMS guidelines, and local/state/federal regulations.Conduct internal audits to ensure accuracy, completeness, and compliance with coding, billing, and appointment scheduling standards. Identify areas for process improvement and suggest solutions to enhance efficiency and accuracy. Qualifications:

• High school diploma or equivalent; certification or associate's degree in medical billing and coding is preferred.
• Proven experience as a medical biller and/or medical transcriptionist.
• Proficient in medical terminology, ICD-10, CPT, and HCPCS coding systems.
• Familiarity with medical billing software and electronic health record (EHR) systems.
• Strong attention to detail and accuracy.
• Excellent organizational and time management skills.
• Effective communication and interpersonal skills.
• Knowledge of insurance billing processes, claims submission, and reimbursement procedures.
• Ability to maintain confidentiality and handle sensitive information with discretion.