Medical Billing Specialist

Practice management company seeking experienced medical billing specialist for an on site position.  Job responsibilities include processing medical claims for reimbursement from insurance companies and patients, ensuring accuracy through proper coding and data entry, and managing payment collections.

Key Responsibilities

• Claim Submission & Follow-Up :  Prepare and submit accurate medical claims to insurance companies, government payers, and other third parties. Follow up on claim status, address denials, and resubmit claims as needed.
• Patient Verification & Billing :  Verify patient insurance coverage and eligibility for services. Generate patient statements and invoices, and handle patient inquiries about bills.
• Coding & Data Management : Review patient medical records to ensure accurate application of diagnosis and procedure codes (like ICD, CPT, HCPCS) before submitting claims. Maintain accurate patient and billing records in electronic systems.
• Payment Processing :  Post payments received from patients and insurance companies to patient accounts. Reconcile payment discrepancies and track late payments.
• Compliance & Communication :  Ensure all billing practices comply with healthcare regulations and HIPAA standards to maintain patient confidentiality.
• Appeals & Collections :  Investigate and appeal denied claims by insurance companies. Initiate private pay collections when necessary.
• Record Maintenance :  Keep all patient information and billing data organized, accurate, and readily accessible for audits and regulatory requirements.
• Software Proficiency : Experience with Medical Manager is preferred but not required.

Benefits include vacation and holiday pay, health insurance, and a retirement plan after two years of employment.  Salary is based on experience. This position is not remote and is located in Lubbock, TX.  Please Fax resume to .

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