Job Description
Job Description
Description : Job Summary
Responsible for the accurate medical claims processing, insurance verifications, and payment posting while ensuring maximum reimbursement through proper billing practices.
- Submit clean claims to insurance companies and follow up on unpaid claims
- Verify patient insurance eligibility and benefits
- Process and post payments from insurance companies and patients
- Review and appeal denied claims
- Monitor accounts receivable and work aging reports
- Ensure compliance with billing regulations and coding guidelines
- Handle patient billing inquiries and resolve discrepancies
- Maintain accurate patient records and billing documentation
- Manages time to complete work in a timely manner and be a team player
- Work collaboratively with clinical staff to ensure proper documentation
- Strong attention to detail and organizational skills
Requirements :
High School graduate or equivalent, associate’s degree in healthcare administration or related field (preferred)2+ years of medical billing experienceMedical Billing Certification (CPC, CBCS, or similar) (preferred)Strong knowledge of CPT, ICD-10, and HCPCS coding (preferred)Knowledge of specialty-specific billing requirements (preferred)
Prior experience in healthcare collectionsExperience with Centricity AKA Athena Practice, eClinical Works, Tebra, etc. preferredProficiency in medical billing software and EMR systemsUnderstanding of insurance guidelines and regulationsKnowledge of Medicare, Medicaid, and commercial insurance billingExcellent attention to detail and organizational skillsStrong written and verbal communication abilities