Medical Billing Specialist

Job Brief:

We are looking for a Medical Biller to join our team and help ensure that our medical billing process runs smoothly. The ideal candidate for this position will have experience with medical coding, insurance verification, and claims processing. The Medical Biller will be responsible for accurately entering patient information into the system, submitting claims to insurance companies and private payers, and following up on unpaid or rejected claims. This is a great opportunity for someone who is organized, detail-oriented, and has excellent communication skills.


Responsibilities:

• Process and submit insurance claims to insurance companies. • Review medical records for accuracy and completeness.

• Follow up on unpaid or rejected claims. • Maintain accurate patient records and billing information. • Resolve billing disputes with insurance companies.

• Communicate with patients regarding billing inquiries.

• Ensure compliance with all applicable laws and regulations.

Skills Required:

• High school diploma or equivalent required
• Must have successfully completed an approved coding program or be a graduate of a health information program or a minimum of 2 years of professional coding experience required
• May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above
• May be required to pass a pre-employment coding test at 80% or greater
• May be certified through American Health Information Management Association (AHIMA) as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) Certified Coding Associate (CCA) or through American Academy of Professional Coders as Certified Professional
• Coder (CPC) or a Certified Outpatient Coder (COC)
• Work requires strong analytical, critical thinking and organizational skills with a high level of accuracy and attention to detail skills
• Work requires excellent customer service, interpersonal, and communication skills (verbal and written)
• Work requires ability to report and problem solve using discretion, judgment, and professionalism
• Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment
• Work requires ability to perform in a conservative, fast-paced, and quality driven environment
• Work requires self-motivation, maturity, and being a team player