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Medical Billing Specialist

Medical Billing Specialist

ENT Center of AustinAustin, TX, United States
8 days ago
Job type
  • Full-time
Job description

About Us :

We are a dedicated ENT (Ear, Nose & Throat) specialist practice committed to providing exceptional patient care and service. We're seeking a detail-oriented and motivated  Medical Billing Specialist  to join our team. The ideal candidate will have experience in healthcare billing and collections, with strong knowledge of CPT, ICD-10, and HCPCS coding.

Responsibilities

Billing & Collections

  • Follow established billing and collection protocols to ensure accurate and timely reimbursements.
  • Review and manage patient and insurance accounts to ensure prompt payment.
  • Apply knowledge of  CPT, ICD-10, and HCPCS  coding for proper claim submission.
  • Identify and resolve payor issues that may cause payment delays.

Claims & Appeals

  • Submit all claims accurately and promptly.
  • Appeal denied claims and manage both  front-end authorizations  and  back-end denials
  • Utilize insurance carrier websites and  Salesforce  for efficient follow-up and tracking.
  • Maintain compliance with  HIPAA, confidentiality, and privacy  regulations.
  • Conduct research using available resources to complete referral submissions and updates.

    • Communication & Collaboration

  • Initiate outbound calls to insurance companies to resolve claims and payment issues.
  • Handle high-volume inbound and outbound calls while acting as a liaison between insurance carriers, patients, and internal staff.
  • Collaborate with internal teams to streamline  referral management  and  prior authorization  processes.
  • Maintain thorough documentation of all communications, actions, and outcomes.
  • Perform other duties as assigned.

    • Qualifications

  • High school diploma or equivalent required.
  • 2–5 years  of healthcare billing, collections, or financial experience preferred.
  • Working knowledge of  HCPCS, CPT, and ICD-10  coding.
  • Proven experience collecting payments from insurance companies.
  • Strong communication, organizational, and problem-solving skills.
  • Ability to work independently and as part of a team in a fast-paced medical office setting.

    • Benefits

  • Competitive pay based on experience
  • Health, dental, and vision insurance
  • Paid time off and holidays
  • Opportunities for professional growth and development
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    Medical Billing Specialist • Austin, TX, United States

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