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About the role
Key responsibilities & impact- Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement.
- Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies.
- Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered.
- Coding: Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations.
- Payment Posting: Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
- Denial Management: Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues.
- Patient Communication: Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns.
- Documentation: Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients.
- Compliance: Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information.
Requirements
What you’ll need- Education: High school diploma or equivalent required; additional medical billing and coding certification is preferred.
- Experience: Minimum of one year of experience in medical billing, preferably in a healthcare setting.
- Knowledge: Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures.
- Skills: Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment.
- Communication: Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives.
- Problem-Solving: Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management.
- Teamwork: Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals.
- Internet Connection:
- - Primary internet connection with a minimum speed of 15 Mbps.
- - Backup internet connection with at least 10 Mbps.
- - Backup connection must be capable of supporting work during a power outage.
- Primary Device:
- - Desktop or laptop equipped with at least:
- - Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
- - A minimum of 8 GB RAM.
- Backup Device:
- - Must meet or exceed the performance of an Intel Core i3 processor.
- - Must be functional during power interruptions.
- Peripherals and Workspace:
- - A functioning webcam.
- - A noise-canceling USB headset.
- - A quiet, dedicated home office space.
- - A smartphone for communication and verification purposes.
Benefits
Comp & perks- Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
- Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
- Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
- Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
- Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
- Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingmedical codingICD-10CPTHCPCSinsurance claim processingbilling softwarepayment postingdenial managementinsurance verification
Soft Skills
attention to detailorganizational skillstime managementmultitaskingcommunication skillsproblem-solvingteamworkcustomer service
Certifications
medical billing and coding certification
