Medical Billing Specialist 08D25

As a Medical Billing Specialist, you will play a crucial role in the healthcare industry by ensuring that medical facilities receive payments for the services they provide. This position involves managing patient billing processes, including coding patient diagnoses and procedures, and ensuring claims are submitted promptly and accurately to insurance companies. Your attention to detail, analytical skills, and knowledge of medical billing software and healthcare regulations will be vital in maintaining the financial health of the healthcare facility. The ideal candidate is an organized and focused professional who enjoys working with numbers and possesses excellent communication skills to interact with patients, insurance companies, and healthcare providers efficiently.

Responsibilities

• Prepare and submit billing data and medical claims promptly and accurately.
• Review patient bills for accuracy and completeness and obtain any missing information.
• Follow up on unpaid claims within the standard billing cycle time frame.
• Address and resolve any patient billing inquiries and discrepancies efficiently.
• Maintain current understanding of applicable coding guidelines and insurance regulations.
• Accurately apply diagnostic and procedural coding according to established guidelines.
• Act as a liaison between patients, insurance providers, and healthcare professionals.
• Verify and enter patient information into the practice management system.
• Communicate effectively with insurance companies to resolve denied claims issues.
• Perform regular internal audits of billing procedures to ensure compliance.
• Update billing processes to improve efficiency and reduce errors continuously.
• Keep confidential patient information secure and handle sensitive data responsibly.

Requirements

• High school diploma or an equivalent qualification is required.
• Minimum of two years’ experience in a medical billing setting preferred.
• Proficient with billing software and medical coding systems is essential.
• Strong understanding of CPT and ICD-10 coding and billing procedures.
• Exceptional attention to detail and strong analytical skills are mandatory.
• Excellent communication skills, both written and verbal, are required.
• Ability to manage confidential information and work independently with minimal supervision.