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Title
Text copied to clipboard!Medical Billing Specialist
Description
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We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team. The Medical Billing Specialist will be responsible for ensuring accurate and timely submission of medical claims to insurance companies, following up on unpaid claims, and resolving billing discrepancies. This role requires a strong understanding of medical billing procedures, insurance guidelines, and healthcare regulations. The ideal candidate will possess excellent organizational skills, attention to detail, and the ability to communicate effectively with patients, healthcare providers, and insurance representatives. Key duties include verifying patient insurance coverage, preparing and submitting claims, posting payments, and handling patient billing inquiries. The Medical Billing Specialist will also be responsible for maintaining patient confidentiality and complying with HIPAA regulations. This position plays a critical role in the financial health of the organization by ensuring that all services rendered are billed and reimbursed accurately and efficiently. The successful candidate should be comfortable working with electronic health records (EHR) systems, medical billing software, and have a solid understanding of medical terminology and coding (ICD-10, CPT, HCPCS). Previous experience in a medical billing or healthcare administrative role is highly desirable. The Medical Billing Specialist must be able to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Ongoing training and professional development opportunities will be provided to ensure the specialist remains current with industry standards and changes in healthcare billing regulations.
Responsibilities
Text copied to clipboard!- Process and submit medical claims to insurance companies
- Verify patient insurance coverage and eligibility
- Follow up on unpaid or denied claims
- Resolve billing discrepancies and appeals
- Post payments and adjustments to patient accounts
- Communicate with patients regarding billing inquiries
- Maintain accurate billing records and documentation
- Ensure compliance with HIPAA and healthcare regulations
- Collaborate with healthcare providers and administrative staff
- Utilize medical billing software and EHR systems
Requirements
Text copied to clipboard!- High school diploma or equivalent; associate degree preferred
- Experience in medical billing or healthcare administration
- Knowledge of medical terminology and coding (ICD-10, CPT, HCPCS)
- Proficiency with medical billing software and EHR systems
- Strong attention to detail and organizational skills
- Excellent communication and interpersonal abilities
- Ability to handle confidential information with discretion
- Familiarity with insurance guidelines and healthcare regulations
- Problem-solving skills and ability to resolve billing issues
- Ability to work independently and meet deadlines
Potential interview questions
Text copied to clipboard!- How many years of experience do you have in medical billing?
- Are you familiar with ICD-10, CPT, and HCPCS coding systems?
- What medical billing software have you used previously?
- How do you handle denied or unpaid insurance claims?
- Can you describe your experience with EHR systems?
- How do you ensure patient confidentiality in your work?
- What steps do you take to resolve billing discrepancies?
- Are you comfortable communicating with patients about billing issues?
- How do you stay updated on changes in healthcare billing regulations?
- What is your approach to managing multiple billing tasks and deadlines?
