Medical Billing/Coding Specialist

Job Responsibilities:

Identifies delinquent patient accounts and resolves within 90 days; works to follow up on accounts until a payment plan is set up, the account is zero balance, or turned over for collection.

Resolve outstanding insurance claims within 90 days: contact insurance companies and patients, appeal underpaid, denied, or overpaid claims.

Backup for coding. Research all information necessary to complete procedure and diagnosis (CPT, ASA, and ICD 10) coding process for all services rendered including obtaining necessary information from physicians/facilities.

Submit electronic claims as assigned. Mail insurance paper claims daily.

Respond to written correspondence and phone inquiries from patients and insurance companies.

Process insurance and patient refunds within 10 business days.

Review and follow-up on lockbox items. Delete files once complete.

Maintains strict confidentiality of all patients and practice information.

Qualifications:

Prior experience in medical billing is required; experience with physician billing is a plus.

Knowledge of health claims and experience with computerized medical billing systems in a healthcare environment is essential.

Familiarity with ICD and CPT coding.

Proficient in Microsoft Office Suite (Excel, Word, etc.) with strong attention to detail.

Strong ability to ensure billing processes comply with regulations and guidelines while maintaining high levels of accuracy.

Hours & Benefits:

Monday to Friday, 8:00 AM – 4:30 PM

100% In-office position

Paid Time Off (PTO)

Health, Dental, and Vision Insurance

401(k) Retirement Plan