Medical Billing Specialist

Job Description

We are currently seeking a medical biller for our York office. The chosen candidate will be responsible for various tasks including managing the check-out process for all patients in the practice, handling billing, and overseeing accounts receivable management and follow-up for all patient medical services.

Duties and Responsibilities:

Ensure accurate coding of relevant diagnoses, procedures, and modifiers directly from the medical record.

Review and resolve coding-related edits and errors affecting claim submission.

Timely submission of charges or data entry for coded services.

Apply principles of commercial insurance reimbursement to ensure proper claim submission.

Identify coding and billing errors, address denials, and resubmit claims as necessary.

Make informed decisions on bundled services, inclusions, exclusions, and code sequencing.

Verify and accurately enter patient insurance information for timely claims processing and reduced denials.

Collaborate effectively with physicians and staff to ensure accurate billing and coding.

Assist in educating providers on billing issues identified through ongoing reviews of submitted claims, supporting the Billing Manager.

Maintain confidentiality and security of patient data and medical records in compliance with HIPAA guidelines.

Demonstrate a customer service-oriented approach, representing the company professionally and handling patient issues with sensitivity and confidentiality.

Maintain a comprehensive knowledge of coding and documentation requirements outlined by CPT, ICD-10, and CMS for all physician services performed.

Possess a thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to effectively apply CPT and ICD-10 codes.

Prior experience in medical billing is preferred.

Perform any other duties and tasks assigned by the management team.