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The Medical Billing Specialist will be responsible for managing and overseeing the billing process for our client's healthcare services. This role requires a high level of accuracy, a deep understanding of medical billing procedures, and a commitment to maintaining compliance with healthcare regulations. The ideal candidate will have experience in medical billing, excellent communication skills, and the ability to work independently in a fast-paced environment.
Job Responsibility:
Prepare and submit accurate medical claims to insurance companies and patients
verify patient insurance coverage and eligibility
review and process insurance claims to ensure proper coding and billing
follow up on unpaid or denied claims to ensure timely reimbursement
communicate with insurance companies and patients to resolve billing issues
maintain patient billing records and ensure their confidentiality
generate and distribute billing statements to patients
assist with financial reporting and analysis related to billing activities
stay updated on changes in billing regulations and practices
Requirements:
High school diploma or equivalent (required)
associate degree or higher in healthcare administration or related field (preferred)
minimum of 2 years of experience in medical billing or a related role
proficiency in medical billing software and electronic health records (EHR) systems
strong understanding of medical terminology, CPT, ICD-10, and HCPCS codes
excellent attention to detail and organizational skills
ability to handle sensitive information with confidentiality
strong problem-solving skills and ability to work independently
effective communication skills, both written and verbal
Certified detail oriented Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification is a plus
Nice to have:
Certified detail oriented Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification
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