Medical Billing Specialist

Job description

Quali fications: Education, Licensure and Certifications, Related Work Experience · High school diploma or equivalent. · Minimum 2 years of medical billing experience, preferably in a multi‑specialty or large physician practice setting. · Certification as a Certified Professional Biller (CPB) or similar credential is required Other specialized skills and knowledge necessary to perform this job. (e.g., basic accounting principles, computer skills and software, specific healthcare processes, interpersonal, communication, etc. 1. Strong understanding of CPT, ICD‑10, and HCPCS coding principles. 3. Proficiency with EMR and practice management system 2. Familiarity with Medicare, Medicaid, and major commercial insurance plans 4. Strong attention to detail and ability to manage multiple tasks in a high‑volume environment Essential Job Duties/Responsibilities: 1. Prepare and share clean claims with outsourced billing company for submission to insurance carriers, government programs, and third‑party payers per payer guidelines 2. Review charges for accuracy, completeness, and compliance with CPT, HCPCS, and ICD‑10 coding standards 3. Resolve claim edits, denials, and rejections by research...