Job Summary
Responsible for the accurate medical claims processing, insurance verifications, and payment posting while ensuring maximum reimbursement through proper billing practices.
· Submit clean claims to insurance companies and follow up on unpaid claims
· Verify patient insurance eligibility and benefits
· Process and post payments from insurance companies and patients
· Review and appeal denied claims
· Monitor accounts receivable and work aging reports
· Ensure compliance with billing regulations and coding guidelines
· Handle patient billing inquiries and resolve discrepancies
· Maintain accurate patient records and billing documentation
· Manages time to complete work in a timely manner and be a team player
· Work collaboratively with clinical staff to ensure proper documentation
· Strong attention to detail and organizational skills
· High School graduate or equivalent, associate’s degree in healthcare administration or related field (preferred)
· 2+ years of medical billing experience
· Medical Billing Certification (CPC, CBCS, or similar) (preferred)
· Strong knowledge of CPT, ICD-10, and HCPCS coding (preferred)
Knowledge of specialty-specific billing requirements (preferred)
· Prior experience in healthcare collections
· Experience with Centricity AKA Athena Practice, eClinical Works, Tebra, etc. preferred
· Proficiency in medical billing software and EMR systems
· Understanding of insurance guidelines and regulations
· Knowledge of Medicare, Medicaid, and commercial insurance billing
· Excellent attention to detail and organizational skills
· Strong written and verbal communication abilities