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Overview
Join our dynamic healthcare team as a Medical Billing Specialist and play a vital role in ensuring accurate and efficient billing processes. In this position, you will manage the ERA , rejection, denials , and following up on outstanding balances. We’re looking for a motivated professional who thrives in a fast-paced environment and is passionate about delivering precise medical billing services.
Duties
Review and interpret ERA and patient's account
Submit accurate insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to various payers.
Follow up on unpaid or denied claims through effective communication with insurance companies and patients to facilitate timely payments.
Maintain detailed documentation of billing activities, including medical records, claim status updates, and collection efforts.
Conduct medical collections by contacting patients or insurance companies to resolve outstanding balances.
Stay updated on changes in medical coding regulations, DRG (Diagnosis-Related Group) classifications, and payer policies to ensure ongoing compliance.
Qualifications
Proven experience in medical billing with a solid understanding of medical terminology, and billing workflows. Familiarity
Experience working with EHR systems in a healthcare setting is highly preferred.
Strong knowledge of medical records management and the billing cycle from claim submission to payment posting.
Excellent attention to detail with the ability to interpret complex medical documentation accurately.
Effective communication skills for interacting with insurance providers, healthcare professionals, and patients regarding billing inquiries.
Prior experience in medical office environments or healthcare administrative roles is advantageous. Embark on a rewarding career that combines technical expertise with impactful healthcare support! We’re committed to fostering an inclusive environment where your skills can flourish while making a difference in patient care through precise and efficient medical billing practices.