The posting
Job Overview:
As a Remote Medical Billing Specialist, you will be responsible for accurately and efficiently processing medical claims, ensuring timely payments, and resolving billing inquiries.
Ideal Candidate:
The ideal candidate will play a crucial role in maintaining the financial health of our organization by ensuring accurate coding, billing, and collections.
Key Responsibilities:
• Input patient information into the practice’s billing software
• Submit claims to insurance companies and follow up on unpaid claims
• Resolve any issues that arise with claims or payments
• Answer patient inquiries regarding billing and payment
• Maintain accurate records of billing and collection activities
• Generate monthly reports to track billing and collection performance
• Accurately code medical procedures and diagnoses using ICD-10, CPT, and HCPCS codes.
• Maintain knowledge of current healthcare regulations and compliance requirements.
• Ensure compliance with all applicable federal, state, and local regulations.
• Communicate effectively with insurance companies and providers.
• Assist patients with payment arrangements and financial assistance programs.
• Monitor accounts receivable and proactively pursue timely collection of payments.
• Assist with other billing-related tasks as needed.
• Participate in departmental meetings and training sessions.
Job Category:
Healthcare
Skill Sets Required / Preferred
Education: High school diploma or equivalent.
Knowledge:
- Proficiency in medical billing software, ICD-10, CPT, EPIC or Cerner and HCPCS coding.
- Strong knowledge of HIPAA compliance to ensure the proper handling and protection of protected health information (PHI) in all billing and reimbursement processes.
- Familiarity with insurance billing procedures and regulations.
- Strong understanding of accounts receivable and collections.
Skills:
• Excellent organizational and time management skills.
• Expertise in claim denial management and appeals, including identifying reasons for denials, submitting appeals, and following up to ensure timely resolution in accordance with payer guidelines.
• Able to multitask and prioritize tasks efficiently
• Excellent customer service skills
• Strong attention to detail and accuracy.
• Effective communication and interpersonal skills.
• Proficiency in computer software and billing systems.
• Ability to work independently and as part of a team.
• Ability to maintain confidentiality of patient information



