
Senior Medical Biller
2 weeks ago
We are seeking a detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have experience with medical billing software, strong knowledge of coding systems (ICD-10, CPT, HCPCS), and excellent communication skills.
- Job Responsibilities:
- Manage the medical billing process from start to finish, ensuring accurate and timely claims submission.
- Collaborate with healthcare professionals to translate services into billable codes.
Claim Preparation and Submission:
- Collect and verify patient and insurance details.
- Accurately generate insurance claims using CPT, ICD-10, and HCPCS codes.
- Submit claims electronically or via paper to insurance payers (Medicare, Medicaid, private insurers).
Insurance Verification and Preauthorization:
- Confirm patient insurance eligibility and coverage before services are rendered.
- Obtain prior authorizations when required by insurance providers.
Claim Follow-Up and Payment Posting:
- Monitor submitted claims for acceptance, rejection, or denial.
- Identify and correct any denied or rejected claims.
- Resubmit corrected claims promptly.
- Post insurance and patient payments in the billing system.
Patient Billing and Compliance:
- Generate and send patient statements electronically for outstanding balances.
- Communicate with patients regarding billing issues, insurance questions, and payment options.
- Ensure full compliance with HIPAA and all relevant billing laws.
Requirements:
- Strong understanding of medical terminology, anatomy, and medical coding systems (ICD-10, CPT, HCPCS).
- Proficiency with billing software (e.g., Kareo, AdvancedMD, Athenahealth) – varies by client requirements.
- Familiarity with specific specialties (e.g., Mental Health, Pediatrics, Internal Medicine, Cardiology, Orthopedics, etc.) – client-dependent.
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