Medical Billing Specialist
Medical Billing Specialist
Medical Billing Specialists play a crucial role in ensuring healthcare providers receive timely and accurate reimbursements. They manage the end-to-end process of preparing, submitting, and tracking insurance claims. Their responsibilities also include handling patient billing queries, resolving discrepancies, and maintaining compliance with healthcare regulations to avoid claim denials and delays.
Job Description:
- Accurately prepare and submit insurance claims for reimbursement.
- Follow up on unpaid or denied claims to ensure timely resolution.
- Verify patient insurance information and coverage details.
- Maintain detailed and accurate records of billing and payment transactions.
- Collaborate with healthcare providers to ensure proper documentation for claims.
- Handle patient inquiries regarding billing and payment discrepancies.
- Ensure compliance with healthcare billing regulations and coding standards.
- Generate and analyze reports to track billing performance and resolve issues.
Desired Candidate Profile:
- Proficiency in medical billing software and EHR systems.
- Strong knowledge of CPT, ICD-10, and HCPCS coding.
- Excellent attention to detail and accuracy in handling claims.
- Strong problem-solving skills to resolve billing and payment issues.
- Effective communication and interpersonal skills for patient and team interaction.
- Familiarity with insurance payer policies and healthcare regulations.
- Ability to manage multiple tasks and meet tight deadlines.
- Certification in Medical Billing and Coding is preferred.