Medical Billing Specialist

Job Title: Medical Biller

Job Summary:
A Medical Biller is responsible for processing and managing patient billing information, ensuring accuracy and compliance with healthcare regulations. This role involves creating and submitting insurance claims, processing payments, and handling patient billing inquiries. Medical Billers work closely with healthcare providers, insurance companies, and patients to ensure timely and accurate reimbursement for medical services.

Key Responsibilities:

• Billing and Coding: Accurately code and bill medical services and procedures in accordance with current healthcare regulations (e.g., ICD-10, CPT, HCPCS codes).
• Insurance Claims: Submit insurance claims electronically or by paper, ensuring all required documentation is included.
• Verification of Benefits: Verify patient insurance coverage, including eligibility and benefits, and resolve any discrepancies.
• Payment Posting: Post payments from insurance companies and patients to patient accounts, ensuring accuracy and proper allocation.
• Account Follow-up: Follow up with insurance companies to resolve unpaid or denied claims. Work to ensure claims are paid in a timely manner.
• Patient Billing: Generate and send patient statements, explain charges, and resolve billing inquiries in a professional and clear manner.
• Documentation Management: Maintain accurate and up-to-date patient records and documentation, ensuring compliance with HIPAA and other healthcare regulations.
• Compliance: Stay current on changes in healthcare laws, insurance policies, and billing codes to ensure compliance with industry standards and regulations.
• Reporting: Prepare and submit reports on billing activities, payment status, and outstanding claims to management or other departments.

Qualifications:

• Education: High school diploma or equivalent; Associate’s degree in medical billing, health information technology, or related field preferred.
• Experience: Previous experience in medical billing, coding, or healthcare administration is preferred.
• Skills:
• Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and healthcare regulations.
• Excellent attention to detail and organizational skills.
• Proficiency in medical billing software and Microsoft Office Suite.
• Ability to communicate effectively with patients, insurance representatives, and healthcare providers.
• Knowledge of insurance policies and payer requirements.

Certifications (preferred but not required):

• Certified Professional Coder (CPC) from AAPC.
• Certified Medical Reimbursement Specialist (CMRS).

Working Conditions:

• Full-time or part-time hours may vary depending on the employer.
• Typically office-based with some remote work options available depending on the employer.

This position is ideal for individuals who are detail-oriented, good at problem-solving, and have an interest in the healthcare industry.

Job Type: Full-time

Pay: $15.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

Salary : $15 - $25