Medical Billing and Coding Specialist

Primary Objective

The Medical Billing and Coding Specialist will be responsible for managing all aspects of the billing cycle, including insurance verification, coding, billing, and collections. The ideal candidate will have experience with ECW and CareWare, QuickBooks, and hold relevant certifications. This role requires close collaboration with the practice/program managers, case managers, and accounting team to ensure accurate and timely billing and reconciliation.

Essential Functions

• Verify insurance coverage for patients and update records accordingly.
• Code and bill all external services received at Quality Comprehensive Health.
• Reconcile weekly services rendered to services billed, ensuring ECW appointments match records ready for billing.
• Collaborate with managers and case managers to resolve unbilled transactions.
• Work closely with the accounting team to reconcile services billed in ECW with QuickBooks records.
• Prepare and mail client statements.
• Assist in the collection of delinquent accounts.
• Perform monthly reconciliation of QuickBooks to ECW.
• Provide weekly collection reports and billing activity reports to the management team.
• Generate comprehensive monthly billing reports, including: Number of patients seen, Number of patients billed, Amount of billing, Unpaid accounts, & Unbilled services
• Maintain accurate patient billing records and update as necessary.
• Ensure compliance with all billing regulations and guidelines.
• Respond to patient inquiries regarding billing and insurance.
• Assist with financial audits as needed.
• Stay current with industry trends, coding updates, and billing regulations.
• Support the Director of Finance and finance team in special projects and initiatives as needed.

Knowledge, Skills, and Abilities

• Strong understanding of medical billing and coding practices.
• Strong knowledge of medical terminology, CPT, ICD-10, and HCPCS coding.
• Proficiency in softwares such as QuickBooks, ECW, or similar platforms.
• Strong analytical and problem-solving skills, with attention to detail and accuracy.
• Excellent communication skills, both written and verbal, with the ability to interact effectively with diverse stakeholders.
• Ability to prioritize tasks and manage multiple deadlines in a fast-paced environment.
• Familiarity with healthcare finance and reimbursement processes preferred.
• Proficiency with Microsoft Office.

Education and Experience

• High school diploma or equivalent; Associate’s degree or higher preferred.
• Certification in medical billing and coding (e.g., CPC, CCA, CCS) is a plus.
• Experience with ECW and CareWare preferred.
• Minimum of 4 years of experience in medical billing and coding, preferably in a primary care or non-profit setting.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. In addition to those essential functions identified above, individuals in this position are also responsible for performing other duties or tasks that may be assigned.

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Education:

• Associate (Preferred)

Experience:

• Medical billing: 4 years (Required)
• Medical coding: 4 years (Preferred)
• eClinicalWorks: 2 years (Preferred)
• Community health center: 2 years (Preferred)
• Primary care: 2 years (Preferred)

Work Location: In person

Salary : $19 - $21