Wound Care Billing Specialist (On site)
Description:
Job Description
The Wound Care Billing Specialist is responsible for handling all aspects of billing and reimbursement related to wound care services provided by Mobile Wound Healing LLC. This includes reviewing medical documentation, coding procedures, submitting claims, and following up with insurance companies to ensure timely and accurate payment. The Wound Care Billing Specialist works closely with healthcare providers and the billing team to ensure compliance with coding and billing guidelines.
About the Company:
Mobile Wound Healing LLC is a leading provider of mobile wound care services in Dublin, Ohio. Our team of healthcare professionals is dedicated to providing high-quality, compassionate wound care to patients in the comfort of their own homes. We are committed to excellence in patient care and strive to make a positive impact on the lives of our patients and their families.
Work Location: In person (Dublin, Ohio)
Responsibilities:
Review medical documentation and assign appropriate codes for wound care procedures
Submit claims to insurance companies for reimbursement
Follow up on unpaid or denied claims and resubmit as necessary
Communicate with quality assurance specialist and billing team to resolve billing issues
Maintain accurate and up-to-date knowledge of coding and billing guidelines
Research, write, and submit appeals as appropriate
Respond to all patient inquiries timely
Remain up to date on payer medical policy notices and changes
Ability to identify and report any trends causing future potential denials
Ensure payment accuracy
Must be able to interpret payer explanation of benefits (EOBs)
Assist with monthly insurance verification checks
Requirements:
Associates degree or equivalent
Previous experience in medical billing, preferably in wound care
Proficient in medical coding systems (CPT, ICD-10, HCPCS)
Knowledge of insurance claim submission and payment processes
Attention to detail and accuracy in coding and billing
Strong communication and interpersonal skills
Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all Commercial managed-care plans
Benefits:
Competitive compensation package
Medical, dental, and vision insurance
401(k) retirement plan
Paid time off and holidays
Career development opportunities
Standard shift:
Day shift
Weekly schedule:
Monday to Friday
Full-time
Full-time