Medical Billing Specialist

Job description

Description The Medical Billing Specialist will be responsible for accurately coding and billing medical services, submitting insurance claims, and ensuring timely reimbursement for healthcare services rendered. The ideal candidate will have strong knowledge of medical billing processes, coding guidelines, and insurance regulations, as well as excellent communication skills and attention to detail. Responsibilities: - Insurance Billing and Claims Submission: Review patient encounter forms, medical records, and other documentation to accurately assign diagnostic and procedure codes based on coding guidelines (ICD-10, CPT, HCPCS). Prepare and submit insurance claims for medical services rendered to patients, including electronic claims submission and paper claims submission as needed. Verify and update patient insurance information, coverage, and eligibility in the practice management system. - Claims Processing and Follow-Up: Monitor insurance claim status, including claim denials, rejections, and pending claims, and follow up with insurance companies to resolve issues and ensure timely reimbursement. Identify and correct billing errors, discrepancies, and claim rejections, and resu...