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Medical Billing Specialist
4 weeks ago
Work Set-up: Remote
Schedule: 9:00 PM – 6:00 AM PHT
Job Summary: We are seeking a detail-oriented Medical Billing Specialist to join our team. The successful candidate will be responsible for managing the billing process for our facilities, ensuring accurate coding of patient services, submitting claims to insurance companies, resolving billing discrepancies, and maintaining compliance with healthcare regulations. This role requires expertise in substance abuse treatment billing while adhering to strict confidentiality guidelines.
Key Responsibilities:
- Process and submit medical claims to insurance providers accurately and in a timely manner.
- Ensure compliance with US healthcare billing regulations, including HIPAA guidelines.
- Review and verify patient information, insurance coverage, and coding accuracy.
- Identify and resolve billing discrepancies, claim denials, and appeals.
- Maintain updated knowledge of insurance policies and reimbursement guidelines.
- Collaborate with healthcare providers and administrative staff to optimize billing accuracy.
- Utilize electronic health record (EHR) systems for data entry and management.
- Generate reports related to billing processes, payments, and outstanding claims.
Qualifications & Requirements:
- Experience: Previous experience in substance abuse billing is preferred.
- US Healthcare Knowledge: Familiarity with US healthcare billing processes and regulations is required.
- Technical Skills: Experience with medical billing software and electronic health record (EHR) systems is preferred.
- Attention to Detail: Strong analytical and problem-solving skills to manage claim submissions and rejections.
- Communication Skills: Ability to interact professionally with clients, insurance companies, and team members.
Preferred Qualifications:
- Familiarity with industry-specific tools such as eClinicalWorks (eCW) or other EHR systems.
- Strong understanding of insurance claims, coding standards (ICD-10, CPT), and appeals process.
