As a Medical Billing Specialist, you will be a vital part of the healthcare team, utilizing core skills in medical collection, EMR systems, and medical terminology to ensure accurate and timely billing processes for the clinic and surgical center. You will work with EHR systems and medical records to support the financial health of the organization. This role involves medical and surgical billing and coding work, with a focus on accuracy, efficiency, and reimbursement integrity.
Key responsibilities include building, sending, and processing medical and surgical claims, following up on submitted claims and outstanding A/R, posting payments, monitoring uncharged encounters in the EMR, and helping resolve reimbursement issues. You will also use analytical and critical thinking skills to identify areas below reimbursement expectations and provide recommendations.
High school diploma or equivalent.
1+ year of experience in medical billing preferred.
Strong knowledge of medical terminology, anatomy, diagnosis codes, and procedure codes.
Must be well versed in CPT and ICD-10 coding.
Preferred background in general orthopaedic, orthopaedic spine, and/or surgical billing and coding.
Knowledge of insurance contracts, CMS and managed care guidelines, NCCI edits, medical terminology, and medical compliance.
Experience with EHR/EMR systems.
Experience with credentialing, CAQH, and PQRS requirements.
Proficiency in MS Word, Excel, and PowerPoint.
Ability to stay current on coding changes through seminars, continuing education, and newsletters.
Understanding of payor-specific, state, and federal billing guidelines.
Preferred credentials: Medical Billing, CPC, or CCS, AAPC certification.
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago