Medical Billing Specialist (CPT, ICD‑10, Insurance Claims)

Overview
Join our dynamic healthcare team as a Medical Billing Specialist, where your expertise will drive the financial health of our practice. In this vital role, you will manage the end-to-end billing process, ensuring accurate coding, timely claims submission, and effective collections. Your attention to detail and knowledge of medical coding and billing procedures will directly impact our ability to provide exceptional patient care while maintaining operational efficiency. This position offers an engaging environment for motivated professionals eager to apply their skills in a fast-paced, rewarding setting.

Responsibilities

• Review and assign appropriate DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes to medical records for accurate billing and reimbursement.
• Prepare and submit claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring compliance with insurance requirements.
• Follow up on unpaid or denied claims through effective medical collection strategies, including resubmissions and appeals.
• Verify patient insurance coverage, benefits, and eligibility prior to service delivery to streamline billing processes.
• Maintain comprehensive medical records, ensuring all documentation aligns with medical terminology standards and coding guidelines.
• Collaborate with healthcare providers to clarify diagnoses or procedures as needed for precise coding.
• Stay current with updates in medical coding regulations, including changes in ICD coding standards and reimbursement policies.

Qualifications

• Proven experience in medical billing with a strong understanding of medical office operations.
• Familiarity with DRG, CPT coding, ICD-9, ICD-10, and medical terminology essential for accurate claim processing.
• Experience working with E-clinical and EHR systems for documentation and billing purposes.
• Knowledge of medical records management and compliance standards related to medical billing practices.
• Strong attention to detail with excellent organizational skills to handle multiple claims efficiently.
• Ability to interpret complex insurance policies and navigate various payer requirements effectively.
• 1+ years prior experience in medical collection processes is highly desirable. Join us in making a difference by ensuring smooth financial operations that support quality healthcare delivery!

Pay: $24.03 - $28.94 per hour

Expected hours: 40.0 per week

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Queen Creek, AZ 85142