The Medical Biller – AR & Denials Specialist is responsible for managing the revenue cycle process including charge review, claims submission, payment posting, accounts receivable follow-up, denial management, and appeals. This role ensures timely reimbursement by maintaining clean claims, resolving denied claims, and communicating effectively with insurance carriers.
- Review and analyze medical records and patient information to ensure accurate coding and billing
- Assign appropriate codes using ICD-9, ICD-10, and DRG coding systems
- Enter coded data into the billing system accurately and efficiently
- Verify insurance coverage and process claims for reimbursement
- Follow up on unpaid claims and resolve any billing discrepancies or denials
- Maintain patient confidentiality and adhere to HIPAA regulations
- Collaborate with healthcare providers and insurance companies to resolve billing issues
Requirements & Qualifications
- Minimum of 2 years of experience in medical billing or coding
- Proficient in ICD-9 and ICD-10
- Knowledge of medical terminology, anatomy, and physiology
- Familiarity with insurance guidelines and reimbursement processes
- Strong attention to detail and accuracy in coding and billing procedures
- Excellent communication skills to effectively interact with healthcare providers, insurance companies, and patients
- Medical Billing experience: 2 years required
Benefits & Perks
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago