PBACO Holding LLC

Job Description Job Description Position Summary The Medical Billing & Coding Specialist is responsible for accurate medical coding, timely claim submission, and effective follow-up to ensure optimal reimbursement. This role plays a critical part in the revenue cycle by preparing, reviewing, and submitting clean claims, resolving unpaid or denied claims, and maintaining compliance with coding and payer requirements. The ideal candidate is detail-oriented, self-motivated, and experienced in working with a variety of insurance plans. Key Responsibilities Prepare, review, and submit clean claims to insurance carriers electronically in a timely manner. Review and correct denied or unpaid claims and resubmit as appropriate. Identify, investigate, and resolve billing discrepancies and payer issues. Apply accurate CPT codes, ICD-10 diagnoses, and appropriate modifiers in accordance with payer guidelines. Perform account follow-up and manage appeals to ensure...