Medical Billing/Accounts Receivable Specialist

Overview

We are seeking a dynamic and detail-oriented Medical Billing/Accounts Receivable Specialist to join our healthcare team. In this vital role, you will manage the billing process, ensure accurate claim submissions, and optimize accounts receivable to support the financial health of the organization. Your work will help streamline revenue cycle management, improve cash flow, and enhance patient satisfaction through precise and timely billing practices.

Duties

• Prepare and submit accurate medical claims using billing software, ensuring compliance with healthcare regulations and payer requirements.
• Review patient records and medical documentation to verify coding accuracy, including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards.
• Follow up on unpaid or denied claims by contacting insurance companies and patients to resolve discrepancies and expedite payments.
• Manage accounts receivable by monitoring outstanding balances, posting payments, and reconciling accounts regularly.
• Maintain detailed records of medical billing activities, insurance claims, payments received, and collections efforts within EMR and EHR systems.
• Communicate effectively with patients regarding billing inquiries, payment plans, or insurance issues while providing excellent customer service.
• Stay current with healthcare claims management practices, health insurance policies, and medical coding updates to ensure compliance and maximize reimbursement.