Medical Billing Specialist

Are you passionate about the healthcare industry and possess a keen eye for detail? Are you looking for a rewarding career opportunity in medical billing? If so, we have the perfect position for you!

Job Description:

As a Medical Billing Specialist, you will play a crucial role in ensuring accurate and timely processing of medical claims for our esteemed clients. Your primary responsibility will be to review, analyze, and submit medical claims to insurance companies, government agencies, and other healthcare providers. Whether you're a seasoned professional or just starting your career journey, we welcome individuals from all backgrounds to join our dynamic team.

Key Responsibilities:

1. Claim Processing: Review medical records, patient charts, and provider notes to accurately code and submit claims for reimbursement. Utilize industry-standard coding systems such as CPT, ICD-10, and HCPCS.
2. Billing and Invoicing: Prepare and send invoices to patients, insurance companies, and other third-party payers. Ensure compliance with billing regulations and guidelines to prevent claim denials and rejections.
3. Payment Reconciliation: Monitor payments received, identify discrepancies, and reconcile accounts to ensure accurate financial reporting. Follow up on unpaid claims and outstanding balances to expedite reimbursement processes.
4. Insurance Verification: Verify patient insurance coverage and eligibility before claim submission. Communicate effectively with insurance carriers to resolve any issues or discrepancies in coverage.
5. Customer Service: Provide exceptional customer service to patients, healthcare providers, and insurance representatives. Address inquiries, resolve billing-related concerns, and maintain positive relationships with stakeholders.
6. Documentation and Reporting: Maintain detailed records of billing activities, payments received, and claim statuses. Generate reports to track key performance indicators (KPIs) and identify areas for process improvement.

Qualifications:

• Education: High school diploma or equivalent (Fresher). Additional certification in medical billing and coding is preferred.
• Experience: Previous experience in medical billing, healthcare administration, or related field is an asset (Experienced).
• Technical Skills: Proficiency in medical billing software and electronic health record (EHR) systems. Strong knowledge of medical terminology, anatomy, and physiology.
• Analytical Skills: Ability to interpret complex medical records and accurately assign diagnostic and procedural codes.
• Attention to Detail: Meticulous attention to detail and accuracy when reviewing and processing medical claims.
• Communication Skills: Excellent verbal and written communication skills. Ability to effectively communicate with diverse stakeholders including patients, providers, and insurance representatives.
• Team Player: Collaborative attitude and willingness to work as part of a team to achieve common goals.
• Ethical Standards: Commitment to upholding ethical standards and maintaining patient confidentiality at all times.

Age and Gender Inclusivity:

We believe in creating an inclusive and diverse workplace where individuals of all ages and genders are valued and respected. This position is open to candidates aged 18 to 60 years, and we welcome applications from individuals of all gender identities.

Apply Now:

Ready to take the next step in your career? Click the "Apply For Job" button below to submit your application. Join us in making a difference in the healthcare industry and helping patients access quality care with efficient billing processes.