Medical Billing Specialist

Job Overview:

As a Remote Medical Billing Specialist, you will be responsible for accurately and efficiently processing medical claims, ensuring timely payments, and resolving billing inquiries.

Ideal Candidate:

The ideal candidate will play a crucial role in maintaining the financial health of our organization by ensuring accurate coding, billing, and collections.

Key Responsibilities:

• Input patient information into the practice’s billing software

• Submit claims to insurance companies and follow up on unpaid claims

• Resolve any issues that arise with claims or payments

• Answer patient inquiries regarding billing and payment

• Maintain accurate records of billing and collection activities

• Generate monthly reports to track billing and collection performance

• Accurately code medical procedures and diagnoses using ICD-10, CPT, and HCPCS codes.

• Maintain knowledge of current healthcare regulations and compliance requirements.

• Ensure compliance with all applicable federal, state, and local regulations.

• Communicate effectively with insurance companies and providers.

• Assist patients with payment arrangements and financial assistance programs.

• Monitor accounts receivable and proactively pursue timely collection of payments.

• Assist with other billing-related tasks as needed.

• Participate in departmental meetings and training sessions.

Job Category:

Healthcare

Skill Sets Required / Preferred

Education:High school diploma or equivalent.

Knowledge:

• Proficiency in medical billing software, ICD-10, CPT, EPIC or Cerner and HCPCS coding.

• Strong knowledge of HIPAA compliance to ensure the proper handling and protection of protected health information (PHI) in all billing and reimbursement processes.

• Familiarity with insurance billing procedures and regulations.

• Strong understanding of accounts receivable and collections.

Skills:

• Excellent organizational and time management skills.

• Expertise in claim denial management and appeals, including identifying reasons for denials, submitting appeals, and following up to ensure timely resolution in accordance with payer guidelines.

• Able to multitask and prioritize tasks efficiently

• Excellent customer service skills

• Strong attention to detail and accuracy.

• Effective communication and interpersonal skills.

• Proficiency in computer software and billing systems.

• Ability to work independently and as part of a team.

• Ability to maintain confidentiality of patient information