Job Description

Job Description:

As a Medical Billing Specialist, you will be responsible for ensuring accurate and timely submission of medical claims, patient billing, and payment collections for a pediatric clinic. You'll work closely with healthcare providers and insurance companies to process claims, resolve billing issues, and optimize the revenue cycle for the clinic.

Responsibilities:

. Prepare and submit clean medical claims to insurance companies electronically and by paper.
. Ensure all claims are coded accurately using ICD-10, CPT, and HCPCS codes.
. Review and process insurance payments, denials, and follow-up on unpaid claims.
. Handle patient billing, send statements, and follow up on outstanding balances.
. Verify insurance coverage and benefits for patients.
. Coordinate with insurance companies to resolve billing issues and re-submit corrected claims as needed.
. Ensure compliance with federal and state regulations as well as HIPAA standards.
. Maintain accurate records of billing activities, payments, and adjustments.
. Work closely with front desk staff and providers to ensure proper coding and documentation for all services.
. Respond to patient billing inquiries and provide excellent customer service regarding account balances and payment plans.

Skills:
. Strong knowledge of medical billing processes, insurance claims, and coding (ICD-10, CPT).
. Experience with Electronic Health Records (EHR) and medical billing software (AthenaHealth preferred).
. Attention to detail and accuracy in data entry.
. Excellent organizational and multitasking skills.
. Strong communication skills, both written and verbal.
. Ability to work independently and as part of a team.
. Knowledge of HIPAA and other healthcare regulations.

Requirements:

. At least 1-2 years of experience in medical billing, preferably in a pediatric or family practice setting.
. Proficiency in medical coding and billing software.
. Understanding of various insurance plans (HMO, PPO, Medicaid, etc.)
. Ability to handle confidential information with discretion.

Shift: US Shift (Fixed Shift)
5 Working Days