Medical Billing Specialist

The ideal candidate will be detail-oriented, possess strong organizational and communication skills, and have a thorough understanding of medical billing procedures and coding.

• Accurately and efficiently process and submit medical claims to insurance companies (electronically and/or paper).
• Verify patient insurance eligibility and obtain necessary authorizations and referrals.
• Post payments and adjustments accurately and reconcile payments with Explanation of Benefits (EOBs).
• Identify and resolve claim denials, rejections, and payment discrepancies through investigation and follow-up.
• Communicate effectively with insurance companies, patients (if needed), and other departments to resolve billing inquiries and issues.
• Maintain accurate and up-to-date patient billing records and documentation.
• Generate and analyze billing reports to identify trends and areas for improvement.
• Stay informed of changes in billing regulations, coding guidelines, and insurance policies.
• Adhere to HIPAA guidelines and maintain patient confidentiality.
• Billing Assistant
• Quality Assurance
• Other Project Management
• Billing Assistant
• Quality Assurance
• Other Project Management