Medical Billing Specialist

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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. 
  
  

Skills And Qualifications

• 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. 
  
  

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