Job Overview
We are seeking a dynamic and detail-oriented Medical Billing Specialist to join our healthcare team. In this vital role, you will be responsible for managing the billing process, ensuring accurate coding, and facilitating smooth claims submission to insurance providers. Your expertise will help optimize revenue cycles, improve patient satisfaction, and uphold the highest standards of medical billing and coding accuracy. This position offers an exciting opportunity to contribute to a fast-paced healthcare environment where your skills directly impact patient care and organizational success.
Duties
- Review and interpret medical documentation to assign appropriate CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) codes for procedures and diagnoses
- Prepare and submit healthcare claims accurately using billing software and EMR (Electronic Medical Records) or EHR (Electronic Health Records) systems
- Follow up on unpaid or denied claims through effective medical collection strategies and healthcare claims management
- Verify patient insurance coverage, benefits, and health insurance details to ensure proper billing procedures
- Maintain detailed medical records, ensuring all documentation aligns with coding requirements and regulatory standards
- Communicate professionally with insurance companies, healthcare providers, and patients to resolve billing discrepancies or inquiries
- Stay updated on changes in medical coding standards, healthcare regulations, and insurance policies to ensure compliance
Requirements & Qualifications
Skills
- Strong knowledge of medical terminology, medical records management, and coding systems including CPT, ICD-9, ICD-10, ICD coding, and DRG classifications
- Proficiency in Microsoft Office applications such as Word and Excel for documentation and reporting purposes
- Experience with billing software platforms and EMR/EHR systems used for claims processing and record keeping
- Excellent customer service skills with the ability to communicate clearly and professionally with patients, providers, and insurers
- In-depth understanding of health insurance policies, healthcare claims management processes, and medical billing regulations
- Ability to analyze complex medical data accurately while maintaining attention to detail
- Familiarity with medical collection procedures to facilitate timely payments and reduce outstanding balances
Benefits & Perks
Benefits
- 401(k)
- Dental insurance
- Flexible schedule
- Parental leave
- Relocation assistance
- Tuition reimbursement
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago