The Medical Billing specialist is responsible for working all aspects of the billing cycle, specifically in Accounts receivable, payment posting, denials, appeals, etc. This role requires a keen attention to detail, knowledge of medical billing best practices, and the ability to work collaboratively across departments to resolve claim issues and improve reimbursement outcomes.
Key Responsibilities:
- Tracking claims for accuracy and timely payment.
- Analyze accounts receivable reports and follow up on unpaid claims and denials.
- Reconcile patient accounts and communicate with payers regarding disputes or appeals.
- Monitor and report key performance indicators for billing operations.
- Maintain compliance with insurance guidelines and HIPAA regulations.
Qualifications:
- Certification in Medical Billing.
- 2+ years of experience in medical billing or healthcare revenue cycle (Preferred).
- Strong understanding of CPT, ICD-10, and medical billing workflows.
- Proficiency in EMR and clearinghouse platforms.
- Exceptional organizational and problem-solving skills.
- Ability to thrive in a team environment with minimal supervision.