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Title
Text copied to clipboard!Healthcare Billing Specialist
Description
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We are looking for a Healthcare Billing Specialist to join our team and ensure the accurate and timely processing of medical billing and insurance claims. The ideal candidate will have a strong understanding of healthcare billing procedures, insurance guidelines, and regulatory requirements. As a Healthcare Billing Specialist, you will be responsible for preparing and submitting claims to insurance companies, following up on unpaid claims, resolving billing discrepancies, and communicating with patients and healthcare providers regarding billing inquiries. You will play a critical role in maintaining the financial health of our organization by ensuring that all billing processes are handled efficiently and in compliance with industry standards. Your attention to detail, organizational skills, and ability to work independently will be essential in this role. You will also be expected to stay up-to-date with changes in healthcare billing regulations and insurance policies to ensure compliance and maximize reimbursement. This position requires excellent communication skills, as you will interact with patients, insurance representatives, and other members of the healthcare team. If you are a detail-oriented professional with experience in medical billing and a commitment to providing excellent service, we encourage you to apply for this rewarding opportunity.
Responsibilities
Text copied to clipboard!- Prepare and submit medical claims to insurance companies.
- Review and verify patient billing information for accuracy.
- Follow up on unpaid or denied claims with insurance providers.
- Resolve billing discrepancies and appeal denied claims.
- Communicate with patients regarding billing questions and payment options.
- Maintain accurate records of billing activities and payments.
- Ensure compliance with healthcare regulations and insurance policies.
- Collaborate with healthcare providers and administrative staff.
- Post payments and adjustments to patient accounts.
- Generate billing reports and assist with audits.
Requirements
Text copied to clipboard!- High school diploma or equivalent; associate degree preferred.
- Proven experience as a medical or healthcare billing specialist.
- Knowledge of medical billing procedures and insurance guidelines.
- Familiarity with healthcare regulations such as HIPAA.
- Strong attention to detail and organizational skills.
- Excellent communication and interpersonal abilities.
- Proficiency with billing software and electronic health records.
- Ability to work independently and as part of a team.
- Problem-solving skills and the ability to resolve billing issues.
- Experience with Medicare, Medicaid, and private insurance claims.
Potential interview questions
Text copied to clipboard!- How many years of experience do you have in healthcare billing?
- Are you familiar with medical billing software and EHR systems?
- Can you describe your experience with insurance claim submissions?
- How do you handle denied or unpaid claims?
- What steps do you take to ensure billing accuracy?
- Are you knowledgeable about HIPAA and other healthcare regulations?
- Have you worked with Medicare and Medicaid claims before?
- How do you prioritize multiple billing tasks?
- Can you provide an example of resolving a complex billing issue?
- What is your approach to communicating with patients about billing concerns?
