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Medical Billing, Claims & Data Entry Specialist

NUCLEUS HEALTHCARE GROUP

Seeking a highly accurate, detail-oriented Medical Billing, Claims & Data Entry Specialist to join the revenue cycle team.

This role is ideal for someone who is exceptionally skilled at high-volume data entry, has strong attention to detail, and understands the importance of getting information right the first time. Accuracy, productivity, organization, and follow-through are essential.

The primary responsibilities include entering patient and billing information, processing anesthesia charges, reviewing claims for accuracy, correcting errors, monitoring rejected or held claims, and supporting the overall billing and revenue cycle process.

This is a hands-on production role for someone who enjoys working with detailed information and can maintain a high level of accuracy while processing a significant volume of work.

Requirements & Qualifications

Key responsibilities

  • Perform high-volume medical billing and data entry with exceptional accuracy
  • Enter patient demographics, insurance information, charges, procedure information, and other billing data
  • Review anesthesia charge information for completeness and accuracy before submission
  • Verify CPT codes, modifiers, provider information, dates of service, and other required claim information
  • Review claims for missing or incorrect information prior to submission
  • Identify and correct data-entry and claim errors quickly
  • Process and submit clean claims to insurance carriers
  • Review rejected, denied, held, or incomplete claims and take appropriate corrective action
  • Reverify insurance eligibility and coverage when necessary
  • Assist with charge entry and claim reconciliation
  • Maintain accurate documentation within the billing system
  • Work assigned billing queues and outstanding items consistently
  • Assist with payment posting and account reconciliation as needed
  • Support follow-up on unpaid or incorrectly processed claims
  • Communicate billing issues or recurring system problems to management
  • Meet established expectations for accuracy, productivity, and turnaround time
  • Maintain strict confidentiality and HIPAA compliance

Required qualifications

  • Strong medical billing, claims processing, or healthcare data-entry experience
  • Exceptional data-entry accuracy and attention to detail
  • Ability to enter and review large amounts of information without sacrificing accuracy
  • Strong computer and keyboarding skills
  • Experience working with patient demographics, insurance information, charges, and claims
  • Understanding of CPT codes, modifiers, insurance claims, and basic revenue cycle processes
  • Ability to recognize inconsistencies and errors before claims are submitted
  • Strong organizational and time-management skills
  • Ability to work independently and maintain productivity
  • Strong follow-through and problem-solving skills
  • Comfortable working in a fast-paced billing environment

Preferred qualifications

  • Previous anesthesia billing experience
  • Experience with anesthesia charge entry, time units, modifiers, and medical direction/concurrency
  • Experience with Imagine Software Plus
  • Experience with electronic claim submission and clearinghouses
  • Knowledge of commercial insurance, Medicare, and other payer requirements
  • Experience researching rejected or denied claims
Benefits & Perks

Benefits

  • 401(k)
  • Health insurance
  • Paid time off

Location

Dallas, Texas, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

2 weeks ago

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