Medical Practice Billing Expert
13 hours ago
The Medical Billing Auditor is a crucial role in ensuring the accuracy, compliance, and optimization of revenue cycle processes within a medical practice. This position involves evaluating medical coding, claim submissions, and reimbursement procedures to identify discrepancies, areas of improvement, and potential billing errors.
Audit Medical Billing Practices: Conduct thorough audits of medical billing processes, including coding accuracy, claims submission, payment posting, and account management.
- Ensure Coding Accuracy: Verify that medical coding (CPT, ICD-10, HCPCS) matches the medical records and services provided by the healthcare team.
- Monitor Compliance: Verify compliance with federal, state, and payer-specific regulations, including HIPAA, Medicare, Medicaid, and private insurance billing standards.
- Identify Errors: Identify incorrect, incomplete, or inappropriate billing practices, claim denials, or underpayments, and work 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: 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.
Benefits of the Role: As a Medical Billing Auditor, you will have the opportunity to enhance your skills and knowledge in medical billing and coding, while contributing to the success of the organization by identifying and addressing potential billing errors.
Qualifications:
- Bachelor's degree in healthcare administration, business, accounting, or a related field (preferred).
- Minimum [X] years of experience in medical billing, coding, or healthcare auditing.
- Certified Professional Coder (CPC), Certified Medical Auditor (CMA), or equivalent certification (preferred).
Preferred Qualifications:
- Experience auditing billing practices in a medical practice setting.
- Certified Coding Specialist (CCS) or Certified Professional Medical Auditor (CPMA) credentials.
-
Medical Billing Auditor
6 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 Compliance Specialist
5 days ago
Cebu City, Central Visayas, Philippines beBeeMedicalBilling Full time ₱300,000 - ₱600,000Medical Billing Auditor Job DescriptionThe 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...
-
Medical Billing Manager
1 week 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 Manager
4 days ago
Cebu City, Central Visayas, Philippines CallTek Full timeJob SummaryThe 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 Specialist
1 week 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
1 week 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 Expert
14 hours ago
Cebu City, Central Visayas, Philippines beBeeClaims Full time ₱250,000 - ₱350,000Medical Claims SpecialistAbout the RoleWe are seeking a skilled Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for managing medical claims and insurance processes with high accuracy and efficiency.This role is ideal for an individual with strong organizational skills, exceptional attention to detail,...
-
Medical Billing Specialist
2 weeks 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
6 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 Leadership Position
1 week 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...
