Benefits:

Competitive salary

Health insurance

Wellness resources

We are seeking a detail-oriented Medical Insurance Billing Expert to join our team. This role is essential in managing accounts receivable on the patient side, ensuring accurate coding of appointments, overseeing the claims process, and facilitating timely payments from insurance providers. The ideal candidate will have a strong understanding of medical coding, billing practices, and insurance policies, coupled with excellent analytical and communication skills.

Key Responsibilities:

Accurately code medical procedures and diagnoses using ICD-10, CPT, and HCPCS codes to ensure compliance with regulations and standards.

Insurance Billing: Prepare and submit insurance claims for reimbursement, ensuring all necessary documentation is included and claims are filed in a timely manner.

Accounts Receivable Management: Monitor patient accounts, track payments, and follow up on outstanding balances to ensure prompt collection of receivables.

Claims Management: Investigate, resolve, and appeal denied claims; communicate with insurance companies to clarify issues and expedite payment.

Documentation Review: Verify the accuracy of patient records and ensure they align with coding and billing practices; collaborate with healthcare providers to obtain missing or corrected information.

Compliance and Regulations: Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies to ensure compliance and accuracy in billing practices.

Patient Communication: Serve as a point of contact for patient inquiries regarding billing and insurance; report of findings, provide clear explanations of charges and payment processes.

Reporting: Generate and analyze financial reports related to accounts receivable, claims status, and overall billing performance to identify trends and areas for improvement.

Qualifications:

Education: High school diploma or equivalent required; associate's degree in health information management or a related field preferred.

Experience: Minimum of 2-3 years of experience in medical coding and insurance billing, in a healthcare setting.

Technical Skills: Proficient in coding software and Electronic Health Records (EHR) systems; strong knowledge of medical terminology, excel, anatomy, and physiology.

Attention to Detail: Exceptional accuracy and attention to detail in coding and billing processes.

Communication Skills: Strong verbal and written communication skills for effective interaction with patients, healthcare providers, and insurance representatives.

Problem-Solving: Ability to analyze and resolve issues efficiently, particularly related to claims denials and discrepancies.

Benefits:

• Competitive salary

• Health insurance

• Paid time off and holidays

• Ongoing training and professional development opportunities

Application Process:

If you are a dedicated professional with a passion for medical coding and billing, we encourage you to apply. Please submit your resume and a cover letter detailing your experience and qualifications.