Medical Billing Compliance Specialist
1 day ago
The role of a Medical Billing Auditor is crucial in ensuring the accuracy and compliance of billing practices within a medical practice.
Key Responsibilities:- Audit Medical Billing Processes: Thoroughly examine medical billing processes, including coding accuracy, claims submission, payment posting, and account management.
- Review Coding and Documentation: Ensure that medical coding (CPT, ICD-10, HCPCS) matches the medical records and services provided by the healthcare team.
- Compliance Monitoring: Verify adherence to federal, state, and payer-specific regulations, including HIPAA, Medicare, Medicaid, and private insurance billing standards.
- Identify Errors and Discrepancies: Identify incorrect, incomplete, or inappropriate billing practices, claim denials, or underpayments, and collaborate with the billing team to correct them.
- Claims Analysis: Analyze the outcomes of claims submissions, including denied or rejected claims, and identify trends or patterns that may lead to non-payment or delays.
- Provide Feedback and Recommendations: Offer constructive feedback to medical billing staff, healthcare providers, and administrators on how to improve billing practices, reduce errors, and increase efficiency.
- Risk Management: Identify areas of risk for billing fraud, compliance issues, or revenue loss, and recommend corrective actions to mitigate these risks.
- Educate and Train Staff: Provide training and education to the billing team and healthcare providers on best billing practices, coding updates, and regulatory changes.
- Bachelor's degree in healthcare administration, business, accounting, or a related field.
- Minimum [X] years of experience in medical billing, coding, or healthcare auditing.
- Certified Professional Coder (CPC), Certified Medical Auditor (CMA), or equivalent certification.
- Strong understanding of medical coding (CPT, ICD-10, HCPCS) and medical billing practices.
- Knowledge of healthcare regulations, including HIPAA, Medicare, Medicaid, and private insurance payer requirements.
- Experience with Electronic Health Records (EHR) systems and billing software.
- Excellent attention to detail and analytical skills.
- Strong communication and report-writing skills.
- Ability to work independently and collaborate with billing and clinical staff.
- Experience auditing billing practices in a medical practice setting.
- Certified Coding Specialist (CCS) or Certified Professional Medical Auditor (CPMA) credentials.
- Familiarity with common billing software such as Epic, Cerner, or Medisoft.
-
Medical Billing Specialist
1 week ago
Cebu City, Central Visayas, Philippines CallTek Full timeJob SummaryThe Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...
-
Medical Billing Specialist
4 days ago
Cebu City, Central Visayas, Philippines Staff4Me Full time $40,000 - $80,000 per yearJob SummaryThe Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...
-
Medical Billing Specialist
4 days ago
Cebu City, Central Visayas, Philippines Staff4Me Full time $40,000 - $60,000 per yearJob SummaryThe Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...
-
Medical Billing Specialist
2 days ago
Cebu City, Central Visayas, Philippines Staff4Me Full timeOverviewThe Medical Billing Specialist is responsible for ensuring the accurate submission of medical claims to insurance companies, managing accounts receivable, and ensuring timely collections. The role requires a deep understanding of medical billing and coding processes, insurance policies, and the ability to communicate effectively with patients and...
-
Medical Billing Auditor
2 days ago
Cebu City, Central Visayas, Philippines Staff4Me Full timeOverviewJob Summary: The Medical Billing Auditor is responsible for auditing and reviewing the billing practices of a medical practice to ensure accuracy, compliance with regulatory standards, and optimization of revenue cycle processes. This role involves evaluating medical coding, claim submissions, and reimbursement procedures to identify discrepancies,...
-
Medical Billing Manager
6 days ago
Cebu City, Central Visayas, Philippines Staff4Me Full timeJob Summary: The Medical Billing Manager is responsible for overseeing and managing the billing operations within the healthcare organization. This role involves leading the billing team, ensuring accuracy in billing procedures, optimizing revenue cycle processes, and maintaining compliance with healthcare regulations. The Medical Billing Manager will...
-
Medical Billing Leadership Position
6 days ago
Cebu City, Central Visayas, Philippines beBeeMedicalBilling Full time ₱800,000 - ₱1,200,000Job Overview:The Medical Billing Manager position is a critical role in the healthcare industry, responsible for overseeing and managing the billing operations within an organization. This individual will lead the billing team, ensuring accuracy in billing procedures, optimizing revenue cycle processes, and maintaining compliance with healthcare...
-
Medical Billing Manager
6 days ago
Cebu City, Central Visayas, Philippines Ann Grogan & Associates, Inc. Full timeExciting office-based environment with great culture and the opportunity to work with US-based clients. Our office is in a brand new building and offers great benefits to employees.Job DescriptionWe are seeking a dynamic and experienced Medical Billing Manager at the operational manager level to lead our billing department. The successful candidate will...
-
Billing Specialist
4 days ago
Cebu City, Central Visayas, Philippines Chong Hua Hospital Full time ₱600,000 - ₱1,200,000 per yearMake a difference and advance your career with Chong Hua Hospital, the Philippines' premier healthcare destinationChong Hua Hospital is looking to hire an experienced and highly motivated Billing Specialist who will be responsible for providing support in managing patient billing and ensuring that procedures are billed according to matching systems data /...
-
Medical Billing Specialist
10 hours ago
Cebu City, Central Visayas, Philippines beBeeMedical Full time ₱30,000 - ₱50,000Our organization is seeking a detail-oriented medical billing professional to assume key responsibilities.Key ResponsibilitiesVerify insurance coverage and benefits for new patients, as well as existing ones, by utilizing accepted codes provided by our partners.Code claims using standard coding procedures in compliance with regulatory requirements.Thoroughly...
