Medical Billing Specialist

Job Summary
At PDC Restorer, we are changing the lives of patients that suffer from chronic pain by offering an alternative to pain medication. Our device can be life changing by limiting the symptoms so patients can return to some normalcy on day to day life. We are seeking a detail-oriented and proactive Medical Billing Specialist to join our team. In this vital role, you will be responsible for helping us build the billing process, ensuring accurate coding, timely submission of claims, and effective follow-up on outstanding balances. Your expertise will help optimize revenue cycle management while maintaining compliance with industry standards. This position offers an exciting opportunity to contribute to efficient healthcare operations and support patient financial experiences through precise and transparent billing practices.

Responsibilities

• Prepare and submit medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
• Worker's Compensation billing will be an emphasis with this position
• Review medical records and documentation to ensure accurate coding for procedures, diagnoses, and treatments.
• Utilize Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to access patient information, update records, and process billing data efficiently.
• Follow up on unpaid or denied claims by communicating with insurance companies and patients to resolve discrepancies or gather additional information.
• Maintain comprehensive records of billing activities, payments received, and outstanding balances to support effective medical collections.
• Stay current with industry regulations and coding updates to ensure compliance with healthcare standards and optimize reimbursement processes.
• Collaborate with medical office staff to verify patient information, insurance details, and ensure smooth billing workflows.Qualifications
• Proven experience in medical billing, coding, or a related role within a healthcare setting.
• Strong knowledge of medical terminology, medical records management, and insurance claim processes.
• Familiarity with medical coding systems including CPT coding, ICD-9/ICD-10 coding, DRG classifications, and ICD coding standards.
• Experience working with EMR/EHR systems for billing purposes.
• Ability to interpret complex medical documentation accurately for coding purposes.
• Excellent communication skills for interacting with insurance providers, patients, and healthcare staff.
• Detail-oriented with strong organizational skills to manage multiple claims efficiently. Join us in delivering exceptional healthcare administration by ensuring accurate billing practices that support both patient care and organizational success!

Pay: $20.00 - $23.00 per hour

Work Location: In person