Insurance Billing Specialist

Overview
Join our dynamic healthcare team as an Insurance Billing Specialist, where your expertise will drive accurate and efficient medical billing processes. In this vital role, you will manage insurance claims, ensure precise coding, and facilitate smooth communication between healthcare providers and insurance companies. Your proactive approach will help optimize revenue cycles and improve patient satisfaction by resolving billing issues promptly. If you thrive in a fast-paced environment and are passionate about medical coding and billing, this is the perfect opportunity to make a meaningful impact in healthcare administration.

Duties

• Review and process medical claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to ensure accuracy and completeness.
• Assign appropriate diagnosis codes (ICD-9, ICD-10) and procedure codes (CPT) to support billing submissions.
• Verify insurance coverage, DRG (Diagnosis-Related Group) classifications, and patient eligibility before submitting claims.
• Follow up on unpaid or denied claims through effective communication with insurance providers to secure timely reimbursements.
• Maintain detailed medical records, ensuring all documentation aligns with billing requirements and medical terminology standards.
• Collaborate with medical office staff to resolve discrepancies related to medical records or coding errors.
• Stay updated on changes in medical coding regulations, insurance policies, and billing procedures to ensure compliance.

Requirements

• Proven experience in medical billing, coding, or related healthcare administrative roles.
• Strong knowledge of DRG classifications, CPT coding, ICD-9, ICD-10 coding systems, and medical terminology.
• Familiarity with EMR/EHR systems used for managing medical records and billing data.
• Excellent understanding of medical collection processes and insurance claim submission workflows.
• Ability to interpret complex medical records accurately and apply appropriate codes efficiently.
• Detail-oriented with strong organizational skills to manage multiple claims simultaneously.
• Effective communication skills for liaising with insurance companies, healthcare providers, and patients. This role offers an exciting opportunity to contribute to a well-organized healthcare environment while honing your expertise in medical coding and billing processes. We value energetic professionals who are committed to accuracy, compliance, and exceptional service delivery in the healthcare industry.

Pay: $20.00 - $25.00 per hour

Benefits:

• Flexible schedule
• Paid time off
• Professional development assistance

Work Location: Remote