Medical Biller Specialist
17 hours ago
We are seeking a detail-oriented and experienced Medical Biller to join our team at TMDPH Inc. As a key member of our healthcare team, you will play a critical role in ensuring accurate and timely billing processes for medical services provided to patients.
About the RoleThe successful candidate will have a strong understanding of medical billing procedures, coding, and insurance practices. They will be committed to maintaining financial accuracy and possess excellent analytical skills to review and process billing information accurately.
Key Responsibilities:- Review and verify accuracy of patient information, diagnoses, and medical procedures for proper coding and billing.
- Prepare and submit medical claims to insurance companies and other third-party payers accurately and within established timelines.
- Follow up on outstanding claims, denials, and discrepancies to ensure timely and complete reimbursement.
- Process and track payments received from insurance companies, patients, and other sources.
- Investigate and resolve billing discrepancies or errors, working collaboratively with internal and external stakeholders.
- Maintain up-to-date knowledge of medical billing regulations, coding guidelines, and insurance requirements.
- Communicate with patients, insurance companies, and other relevant parties to address billing inquiries, provide explanations of benefits, and ensure accurate billing information.
- Bachelor's Degree in any field.
- An associate's degree or certification in Medical Billing and Coding is an advantage but not required.
- Proficient understanding of medical billing procedures, insurance claims, and coding systems (CPT, ICD-10, HCPCS).
- Familiarity with billing software and electronic health record (EHR) systems.
- Strong attention to detail and analytical skills to review and process billing information accurately.
- Excellent written and verbal communication skills for effective interaction with patients and insurance representatives.
- Minimum of 1 year(s) of experience in medical billing, preferably in a healthcare facility or billing service.
- Experience in a BPO setting handling medical billing or insurance is an advantage.
- Experience with different medical specialties and insurance types (Medicare, Medicaid, and private insurers) is advantageous.
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Medical Coding Specialist
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