Medical Billing Specialist

Job Description

Job DescriptionJob ProfileJob Title: Medical Billing SpecialistLocation: Williamsville, NYHire Type: Contingent to HirePay Range: $20.00-27.00/hrWork Model: Hybrid after trainingNature & Scope:Positional OverviewAre you passionate about accuracy, detail, and playing a key role in the healthcare revenue cycle? We’re looking for experienced Medical Billing Specialists to join a mission-driven healthcare team dedicated to delivering exceptional care to the community. In this vital role, you'll ensure timely and accurate submission of medical claims, support reimbursement processes, and contribute to the financial health of a dynamic physician practice. If you're experienced in medical billing, understand the nuances of coding, and thrive in a collaborative environment where every task supports better patient outcomes, we invite you to bring your skills to a place where your work truly matters.Role & Responsibility:Tasks That Will Lead To Your Success

• Review and process patient medical records to ensure accuracy in charge posting and billing.
• Maintain knowledge and experience in utilizing CPT and ICD-10 coding systems to assign appropriate codes for procedures and diagnosis ensuring adherence with payer guidelines.
• Prepare and submit claims to insurance companies for processing including batch transmission reconciliation process.
• Communicate with healthcare providers, patients, and insurance companies regarding billing inquiries.
• Maintain up-to-date knowledge of medical billing systems and practices.
• Ensure compliance with all relevant laws and regulations related to medical billing and reimbursement.
• Collaborate and maintain a positive rapport with medical office staff to resolve any discrepancies or issues related to billing.
• Maintain knowledge and understanding of medical insurance programs and coverage offered under the various plans.
• Research and work collaboratively with medical office staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse).
• Contact patients and/or provider offices directly to secure current and accurate insurance information and provide guidance to patients on policy terms.
• Respond to the revenue cycle management team and external vendors promptly to address information required for claim resubmission and denial resolution.
• Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
• Maintain understanding of payer websites and content for eligibility purposes and navigation of Practice Management integrated eligibility module.
• Deliver exemplary customer service to provide a positive experience across the professional billing practice.
• Perform other duties assigned by management.

Skills & ExperienceQualifications That Will Help You Thrive

• High School Diploma or GED required.
• 1-2 years’ experience in billing or medical office operation required.
• Certification from technical school in medical billing/coding preferred.
• Basic knowledge of ICD-10 and CPT Codes, required.
• Understanding of Revenue Cycle Management, preferred.
• Ability to multi-task with accuracy required, strong organizational skills.
• Strong customer service and communication skills with ability to utilize computer programs.