Description:
We are seeking a meticulous and driven Medical Billing Specialist to join our dynamic on-site team. The ideal candidate will be instrumental in optimizing our clients' revenue cycles by ensuring flawless claim submission, meticulous follow-up, and strategic denial resolution. This role is perfect for a detail-oriented professional who thrives in a structured, collaborative environment and is passionate about delivering results that directly impact business growth.
Key Responsibilities:
- Review and verify patient billing data for accuracy and completeness.
- Prepare, submit, and track electronic and paper claims to insurance companies.
- Manage accounts receivable and follow up on unpaid or denied claims within standard billing cycle timeframe.
- Identify, analyze, and appeal claim denials; implement corrective actions to prevent future denials.
- Communicate with insurance providers, clients, and patients to resolve billing discrepancies and answer inquiries.
- Maintain up-to-date knowledge of coding standards (CPT, ICD-10, HCPCS) and payer-specific requirements.
- Ensure strict adherence to HIPAA regulations and client confidentiality policies.
- Provide regular reporting on billing status, denials, and collections performance to management and clients.
- Utilize practice management and billing software efficiently.
Qualifications:
- High school diploma or equivalent; associate or bachelor’s degree in healthcare administration or related field preferred.
- Minimum of 2-3 years of experience in medical billing, preferably within a multi-practice or RCM service environment.
- Proficiency in medical billing software (e.g., AdvancedMD, Kareo, Epic, NextGen) and MS Office.
- Strong understanding of insurance guidelines, including Medicare, Medicaid, and commercial payers.
- Certified Professional Biller (CPB) or similar certification is a plus.
- Excellent analytical, problem-solving, and communication skills.
- High level of accuracy and attention to detail.