What are the responsibilities and job description for the Medical Claims and Billing Specialist position at Commercial Construction?
Overview
We are seeking a detail-oriented and knowledgeable Medical Claims and Billing Specialist to join our healthcare team. The ideal candidate will play a crucial role in the billing process, ensuring accurate and timely submission of medical claims. This position requires a strong understanding of medical coding, terminology, and billing systems to facilitate efficient revenue cycle management.
Duties
- Review and verify patient information and insurance coverage for accuracy before submitting claims.
- Prepare and submit clean claims to insurance companies using appropriate coding systems such as ICD-9 and ICD-10.
- Utilize knowledge of Diagnosis Related Groups (DRG) to ensure proper billing practices.
- Follow up on unpaid or denied claims, conducting necessary research to resolve issues promptly.
- Maintain organized medical records and documentation to support billing processes.
- Collaborate with healthcare providers and staff to clarify any discrepancies in patient records or billing information.
- Stay updated on changes in medical billing regulations and coding practices to ensure compliance.
Skills
- Proficient in medical coding and familiar with medical terminology.
- Experience with medical office systems and electronic health record (EHR) software.
- Strong understanding of medical collection processes and best practices.
- Excellent organizational skills with attention to detail for accurate record keeping.
- Ability to communicate effectively with patients, insurance companies, and healthcare professionals.
- Knowledge of medical records management and compliance standards.
AFTP123
Job Type: Full-time
Pay: $26.00 - $30.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
Work Location: In person
Salary : $26 - $30