We are seeking a detail-oriented and highly skilled Medical Billing Specialist to join our surgery center business office. The ideal candidate will possess a comprehensive understanding of medical billing processes, coding systems, and insurance claim procedures. As a Medical Billing Specialist, you will be responsible for accurately processing medical claims, managing patient accounts, and ensuring timely reimbursement. Your expertise in medical coding, including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) coding, ICD-9 and ICD-10 classification systems, and familiarity with EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems will be essential to optimize revenue cycle management and maintain compliance with healthcare regulations.
Hours for this position are Monday - Friday from 8:30am - 5:00pm.
Key responsibilities include reviewing and interpreting medical records to assign ICD coding (ICD-9 and ICD-10), utilizing CPT coding for procedures and services, processing claims through EMR and EHR systems, managing billing cycles, collaborating with healthcare providers to clarify documentation, conducting medical collections, maintaining compliance with healthcare regulations, generating billing and collection reports, performing customer service duties related to revenue cycle management, verifying insurance coverage and benefits, assisting patients with payment plans, and reviewing patient procedures for prior authorization or precertification requirements prior to surgery.
Candidates should have proven experience in medical billing with a strong understanding of DRG, CPT, ICD-9, and ICD-10 coding systems; proficiency with EMR/EHR systems; knowledge of medical terminology and healthcare documentation standards; experience with medical collections and insurance claim processes; and prior work in medical office or healthcare facility environments. Strong organizational skills and attention to detail are essential.
- Proven medical billing experience (minimum 3 years) with expertise in DRG, CPT, ICD-9, and ICD-10 coding
- Proficiency using EMR/EHR systems
- Knowledge of medical terminology and healthcare documentation standards
- Experience handling medical collections and patient account reconciliation
- Familiarity with insurance claim processing procedures
- Prior experience working in a medical office or healthcare facility environment
- Strong organizational skills with high attention to detail and accuracy
- 401(k) matching
- Employee assistance program
- Flexible spending account
- Health insurance
- Paid time off
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago