Medical Billing Specialist

Medical Billing Specialist

Spine Institute of Central Florida – Full-time

Job Description

We are looking for a detail-oriented Medical Billing Specialist to support our comprehensive spine care services. The role involves coding, claims management, billing, and communication with providers and payors.

• Well versed in CPT and ICD-10 coding, with preference for orthopaedic and spine billing.
• Knowledge of insurance contracts, CMS and managed care guidelines, medical terminology and compliance.
• In-depth knowledge of the appeals process and ability to successfully appeal unjust denials.
• Send claims (paper and electronic), follow up on submitted claims and outstanding A / R.
• Post payments for all claims, monitor uncharged encounters in EMR, and send notices to physician offices on missing charges.
• Apply analytical and critical thinking to identify reimbursement gaps and recommend timely resolution.
• Comfortable with all aspects of EHR / EMR systems, credentialing, CAQH, and PQRS requirements.
• Proficient in MS Word, Excel, PowerPoint.
• Stays informed on coding issues and carrier-specific guidelines.
• Preferred experience : ASC credentialing and contracting.

Qualifications

Required Education : High School Graduate or equivalent.

Preferred Education : CPC or CCS, certified coder via AAPC or an equivalent organization.

Experience : 1 year in medical coding with good knowledge of medical terminology, anatomy, diagnosis, and procedure codes.

Company

The Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of spinal services, both non-surgical and surgical, under one roof, including evaluation, imaging, pain management, rehabilitation, and therapy.

Seniority Level

Entry level

Employment Type

Full-time

Job Function

Health Care Provider

Industry

Medical Practices

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