Medical Billing Specialist

Job Description

Job Summary:

We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team. As a Medical Biller, you will be responsible for accurately and efficiently processing superbills. Your role will involve working on our medical billing system, coding diagnoses and procedures, and maintaining a timely flow throughout the month.

Responsibilities:

Daily processing of superbills

Use of the proper or most-specific pediatric codes

Assign appropriate medical codes (ICD-10) to ensure proper billing and reimbursement.

Use of correct modifiers (e.g., 59, 91, 25, GT, CS)

Collect payments and produce statements.

Prepare and submit paper claims to insurance companies.

Follow up on unpaid or denied claims and resubmit as necessary.

Address billing errors, denials, and compliance issues effectively.

Communicate with insurance companies, patients, and healthcare providers to resolve billing issues.

Communicate with parents to explain upcoming/future charges.

Experience:

Associate or bachelor’s degree with certification on medical billing and coding.

3-5 years’ experience with medical billing and coding, pediatric experience is highly preferred.

Strong knowledge of medical terminology and coding systems (CPT/ICD-10)

Strong attention to detail, precision, and exactness.

Excellent written and verbal communication skills.

Strong problem-solving and critical thinking skills.

Excellent computer skills with the MS Office Suite.

Ability to self-start, multitask and prioritize workload effectively and always maintain professional conduct.Company Description

Spring Valley Pediatrics has been around for more than 90 years. We emphasize the importance of individualized, personalized care and we are committed to provide the best possible care for children, adolescents, and young adults. We aim for continuity, always trying to have each patient see their “own” doctor and nurse at each visit. By always seeing the same doctor and nurse, the children and their parents become quite comfortable and form long-term relationships with their care providers. We love getting to know our patients and their families.

We are proud to have an in-office laboratory so that we may expedite and individualize treatment plans.

We are committed to facilitating excellent communication between our patients and their pediatrician and nurse. One of our physicians is available 24/7 and we are open 365 days/year.