Job Description

Medical Billing Specialist

A confidential healthcare billing organization is seeking an experienced Medical Billing Specialist. This role is fast-paced and high-volume, requiring exceptional accuracy, claim resolution skills, and a thorough understanding of insurance processes and coding guidelines.

Key Responsibilities

• Work aged accounts, verify insurance benefits, and resolve outstanding claims
• Review, correct, and resubmit denied claims to ensure timely reimbursement
• Manage unpaid patient balances and follow medical collection best practices
• Apply accurate ICD-10 coding for diagnoses and procedures
• Process daily medical billing for services rendered by providers
• Handle refund requests and maintain compliance with billing and coding regulations
• Collaborate with clinical and administrative teams to ensure complete and accurate billing data
• Confirm insurance coverage and obtain authorizations when needed

Required Qualifications

• Proven success in claim resolution and follow-up
• MediClear Certification or equivalent HIPAA/privacy certification
• Strong knowledge of ICD-10 and medical billing procedures
• Familiarity with medical terminology, coding guidelines, and collection processes
• Exceptional attention to detail and accuracy
• Ability to work efficiently in a high-volume environment and meet quotas
• EPIC experience preferred but not required

Benefits

• 401(k) + employer matching
• Medical, dental, and vision insurance
• Paid time off

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