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Medical Billing Claims Specialist

Job Summary
We are seeking a detail-oriented and organized Medical Biller to join our Internal Medicine practice. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding and timely submission of claims. This role requires a strong understanding of medical terminology, coding systems, and the ability to navigate medical records efficiently. Athena EMR experience is a plus, but not required.

Duties

  • Review and verify patient information for accuracy before billing, any front end edits.
  • Review appropriate codes (ICD-9, ICD-10) to diagnoses and procedures based on medical documentation.
  • Prepare and submit claims to insurance companies and follow up on unpaid and denial claims in timely manner.
  • Resolve discrepancies in billing by communicating with healthcare providers, patients, and insurance representatives.
  • Maintain up-to-date knowledge of medical billing regulations and coding guidelines.
  • Utilize coding systems effectively to ensure accurate billing processes.
  • Collaborate with other office staff to ensure seamless patient care and billing operations.

Requirements

  • Proven experience in medical billing or coding is REQUIRED.
  • Strong knowledge of DRG (Diagnosis Related Group), ICD-9, ICD-10, and medical terminology.
  • Familiarity with medical records management and coding systems.
  • Excellent attention to detail and organizational skills.
  • Strong communication skills for effective interaction with patients, providers, and insurance companies.
  • Ability to work independently as well as part of a team in a fast-paced environment.
  • Certification in medical billing or coding is a plus but not mandatory.

Join our team and contribute to providing exceptional healthcare services while ensuring accurate billing practices.

Job Types: Full-time, Part-time

Pay: $22.00 - $30.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 4 hour shift
  • 8 hour shift
  • Monday to Friday
  • No nights
  • No weekends

Ability to Relocate:

  • Troy, MI 48083: Relocate before starting work (Required)

Work Location: In person

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