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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.
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 codingICD-10CPTHCPCSclaims processingbillinginsurance verificationpayment postingdenial managementmedical terminology
Soft Skills
attention to detailorganizational skillstime managementmultitaskingcommunication skillsproblem-solvingteamworkcustomer service
Certifications
medical billing and coding certification
