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Medical Billing Specialist

Riley Home Group Services LLC

We are seeking a proactive and detail-oriented Medical Billing Specialist to join our dynamic healthcare team. In this role, you will be responsible for managing the entire billing process, ensuring accurate coding, timely submission of claims, and effective follow-up on outstanding balances. Your expertise will help streamline revenue cycle management, improve cash flow, and support the delivery of exceptional patient care. This position offers an exciting opportunity to utilize your medical billing skills in a fast-paced environment committed to excellence and continuous improvement.

Prepare and submit insurance claims using accurate CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) coding standards.

Review medical records and documentation to ensure proper coding accuracy and compliance with regulatory guidelines.

Follow up on unpaid or denied claims through effective medical collection strategies.

Verify patient insurance coverage and eligibility using EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems.

Maintain detailed records of billing activities, adjustments, and payments for audit purposes.

Collaborate with healthcare providers to clarify diagnoses or procedures requiring precise ICD coding.

Stay updated on changes in medical billing regulations, coding updates, and insurance policies to ensure compliance.

Proven experience in medical billing with a strong understanding of medical terminology and records management.

Proficiency in medical coding including CPT, ICD-9, ICD-10, and DRG classifications.

Familiarity with EMR/EHR systems and medical office workflows.

Knowledge of medical collection processes and insurance claim procedures.

Ability to accurately interpret medical documentation and translate it into appropriate codes.

Excellent organizational skills with attention to detail to prevent errors in billing processes.

Strong communication skills for effective collaboration with providers, payers, and patients.

Join us as a Medical Billing Specialist and become an integral part of our mission to deliver seamless healthcare services! Your expertise will drive efficiency, accuracy, and positive outcomes for both our patients and our organization.

Requirements & Qualifications

Proven experience in medical billing with a strong understanding of medical terminology and records management.

Proficiency in medical coding including CPT, ICD-9, ICD-10, and DRG classifications.

Familiarity with EMR/EHR systems and medical office workflows.

Knowledge of medical collection processes and insurance claim procedures.

Ability to accurately interpret medical documentation and translate it into appropriate codes.

Excellent organizational skills with attention to detail.

Strong communication skills for effective collaboration with providers, payers, and patients.

Location

Richmond, Texas, US

Employment Type

Part-time

Experience Level

Associate

Remote work allowed

No

Posted

3 weeks ago

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