billing and coding specialist

Valley Perinatal Services

Job Overview We are seeking a detail-oriented and proactive Revenue Cycle Specialist to join our dynamic healthcare team. The ideal candidate will play a crucial role in managing the revenue cycle process, ensuring accuracy and efficiency in billing, collections, and claims processing. This position requires strong analytical skills, attention to detail, and a commitment to maintaining compliance with healthcare regulations.Job SummaryThe Revenue Cycle Supervisor will be responsible for overseeing and coordinating the daily operations of the revenue cycle team. This includes managing billing, coding, collections, and payment processing to ensure the accurate and timely submission of claims and the efficient collection of payments. This position will also oversee credentialing for the current physicians in the practice and new practices or providers onboarding. The ideal candidate will have a strong understanding of healthcare revenue cycle processes, exceptional leadership skills, and a passion for improving financial performance. Candidate must have strong analytical abilities, the ability to think strategically, and sharp decision-making skills.Duties<ul><li>Supervise and lead the revenue cycle team, providing guidance and support to ensure the team's success.</li><li>Monitor and manage the revenue cycle workflow, including billing, coding, claims processing, and payment collections.</li><li>Ensure compliance with all relevant regulations, policies, and procedures.</li><li>Monitor and manage the credentialing team ensuring current providers credentialing is maintained and new providers and integrations credentialing is seamless.</li><li>Analyze and report on key revenue cycle metrics, identifying areas for improvement and implementing corrective actions as needed.</li><li>Collaborate with other departments to optimize processes and improve overall financial performance.</li><li>Train and develop team members, fostering a culture of continuous learning and improvement.</li><li>Monitor productivity</li><li>Resolve complex billing and payment issues, acting as a point of escalation for the team.</li><li>Stay current with industry trends, regulations, and best practices to ensure the organization remains compliant and competitive.</li><li>Assign and monitor billing and coding teams&rsquo; assignments</li><li>Audit billing and coding teams&rsquo; work to ensure clean claims are submitted timely for all services</li><li>Participate and lead team meetings</li><li>Conduct new employee interviews</li><li>Conduct corrective action counseling to employees if warranted</li><li>Approve direct reports&rsquo; PTO requests and coordinate coverage</li><li>Collaborate with operations and collections to resolve operational claim errors</li><li>Other duties as assigned based on business needs</li></ul>Required Skills/Abilities<ul><li>Athena EMR experience is required</li><li>Ability to run, manage and create reports within Athena</li><li>Advanced knowledge of ICD10 and CPT coding principles</li><li>Advanced knowledge of national and payer coding guidelines</li><li>Adherence to LCDs, NCDs and NCCI edits</li><li>Knowledge of Incident-to and PATH guidelines</li><li>Attention to detail</li><li>Ability to follow instructions</li><li>Advanced knowledge of MS Office applications, Excel knowledge and pivot tables.</li><li>Critical thinking to anticipate issues and collaborate on solutions to them.</li></ul>Experience/Education<ul><li>Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) preferred</li><li>Athena Experience required</li><li>Five years of physician practice, billing and coding experience required</li><li>Provider credentialing and hospital privileging experience</li><li>Three to five years of management experience required</li><li>Bilingual is a plus</li></ul>If you are passionate about improving the revenue cycle process in healthcare and possess the necessary skills, we encourage you to apply for this exciting opportunity.Job Type: Full-timePay: From $62,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>physician billing and coding: 5 years (Required)</li><li>Provider Credentialing: 3 years (Required)</li><li>ICD-10: 3 years (Required)</li><li>Management: 3 years (Required)</li></ul>Work Location: In person

Revenue Cycle Supervisor

AFIABLEE Healthcare & IT Solutions LLP

Company: Afiablee Healthcare Position: Medical Billing AR SpecialistDear Candidate, Afiablee Healthcare is hiring an experienced Medical Billing Accounts Receivable (AR) Specialist to join our growing team. The ideal candidate should have strong knowledge of insurance follow-ups, denials, and payment posting, along with excellent communication skills and attention to detail.Interested candidates can call us at 912-987-2778.Responsibilities:<ul><li>Follow up on outstanding insurance claims</li><li>Review and resolve denials and rejections</li><li>Submit and resubmit claims as needed</li><li>Maintain accurate billing and payment records</li></ul>Requirements:<ul><li>Minimum 1 year of experience in Medical Billing (AR)</li><li>Familiarity with EOBs, claim follow-ups, and payer portals</li><li>Strong communication and analytical skills</li></ul>Kind Regards,HR TeamJob Type: Full-timePay: &#8377;18,000.00 - &#8377;27,000.00 per monthWork Location: In person

Medical Billing AR Specialist

Dynamic

Full Job description: We are seeking a detail-oriented and knowledgeable Insurance Coder to join our healthcare team. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with industry standards. This role requires proficiency in various coding systems and a strong understanding of medical terminology, billing processes, and electronic health record systems.Responsibilities1. Medical Coding and Documentation Review<ul><li>Review clinical documentation provided by physicians and healthcare providers to accurately assign ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered.</li><li>Ensure that all coding reflects the services documented and complies with local payer requirements and insurance coding standards.</li></ul>2. Claims Preparation and Submission<ul><li>Prepare and process medical claims for submission to insurance companies, TPAs, and government health programs.</li><li>Ensure each claim is accurately coded, error-free, and submitted within the payer&rsquo;s timeframe to minimize claim rejections and delays.</li></ul>3. Insurance Verification and Pre-Authorization Support<ul><li>Collaborate with the front desk and insurance department to verify patient coverage, benefits eligibility, and prior authorization requirements before procedures.</li><li>Provide coding support to facilitate accurate pre-approvals.</li></ul>4.Compliance and Regulatory Adherence<ul><li>Maintain strict adherence to UAE regulatory guidelines (DHA, DOH, MOHAP, etc.) and international coding standards (AAPC/AHIMA).</li><li>Ensure all documentation and coding practices meet HIPAA and data privacy regulations.</li></ul>5. Denial Management and Resubmission<ul><li>Analyze denied or rejected claims, identify coding-related reasons, and take corrective actions.</li><li>Recode and resubmit claims promptly to ensure optimal reimbursement.</li></ul>6. Revenue Cycle Optimization<ul><li>Work closely with the billing and finance teams to ensure that accurate coding contributes to maximum reimbursement and efficient cash flow.</li><li>Identify patterns in underpayments or denials and recommend corrective strategies.</li></ul>7. Internal Audits and Quality Assurance<ul><li>Conduct routine coding audits to ensure accuracy, completeness, and compliance.</li><li>Participate in internal reviews to maintain a clean claims ratio and minimize financial risk to the centre.</li></ul>8. Provider Education and Feedback<ul><li>Collaborate with physicians and nurses to educate them on documentation standards that support appropriate coding.</li><li>Provide feedback on incomplete or ambiguous notes that may affect claim validity.</li></ul>9. Reporting and Data Analytics<ul><li>Generate periodic coding, billing, and denial trend reports for management review.</li><li>Contribute insights into service utilization, payer performance, and reimbursement trends to inform business decisions.</li></ul>10. Continuous Professional Development<ul><li>Stay updated with new coding regulations, payer policies, and software updates (such as in Bitrix, eClaimLink, or DHA Shafafiya systems).</li><li>Participate in coding workshops, training sessions, and continuing education programs to maintain certification.</li></ul>Qualification:<ul><li>At least 2 years of UAE experience as an insurance coder in the clinic sector.</li><li>Proven experience in medical coding .</li><li>Familiarity with medical billing processes and medical collection practices is preferred.</li><li>Strong knowledge of medical terminology to ensure accurate coding practices.</li><li>Excellent attention to detail with the ability to work independently as well as part of a team.</li><li>Strong analytical skills to interpret complex information accurately.</li><li>Certification in Medical Coding (e.g., CPC, CCS) is a mandatory.</li></ul>Job Type: Full-time

Insurance Coder

Doctors Urgent Care Group

We are seeking an experienced Medical Biller with a strong background in Rheumatology billing and coding to join our team. The ideal candidate will have in-depth knowledge of Rheumatology-specific procedures, modifiers, infusion billing, and insurance authorizations, ensuring timely and accurate reimbursement.Key Responsibilities<ul><li>Prepare, review, and submit accurate medical claims to insurance companies (electronic and paper) for Rheumatology services.</li><li>Verify insurance coverage, obtain authorizations, and ensure claims comply with payer policies.</li><li>Review documentation for appropriate CPT, ICD-10, and HCPCS coding specific to Rheumatology (e.g., infusion therapy, biologics, joint injections).</li><li>Monitor aging reports and follow up on unpaid or denied claims promptly.</li><li>Correct claim errors, re-bill, and appeal denied or underpaid claims.</li><li>Post insurance and patient payments, process refunds, and reconcile accounts.</li><li>Communicate with patients regarding billing inquiries and outstanding balances.</li><li>Collaborate with providers and front-desk staff to ensure complete and accurate documentation for billing.</li><li>Maintain up-to-date knowledge of Rheumatology-specific coding changes, payer regulations, and compliance standards (HIPAA, CMS).</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Do you have experience working with rheumatology?</li></ul>Work Location: Remote

Medical Biller

National Emirates for Medical Services

We are currently seeking a Billing and Medical Coder with prior experience in the homecare sector to join our team in Abu Dhabi. The ideal candidate will be responsible for accurately coding medical procedures and services, preparing and submitting claims, and ensuring compliance with insurance regulations specific to homecare services.Key Responsibilities:<ul><li>Review and analyze medical documentation to assign appropriate ICD-10, CPT, and HCPCS codes</li><li>Ensure accurate and timely billing of homecare services to insurance providers</li><li>Verify and validate patient insurance coverage</li><li>Resolve billing discrepancies and follow up on unpaid claims</li><li>Maintain confidentiality and security of patient records</li><li>Stay up to date with payer regulations and homecare coding guidelines</li><li>Coordinate with nurses and physicians for proper documentation</li></ul>Requirements:<ul><li>Proven experience in medical coding and billing, specifically in a homecare setting (Mandatory).</li><li>Certification in medical coding (e.g., CPC, CCA, CCS) is preferred.</li><li>Strong knowledge of ICD-10, CPT, and HCPCS coding systems.</li><li>Familiarity with UAE insurance billing processes and portals (e.g., Daman, Thiqa, etc.).</li><li>Excellent attention to detail and accuracy.</li><li>Proficient in medical billing software and Microsoft Office.</li><li>Good communication and organizational skills.</li><li>Based in Abu Dhabi or willing to relocate.</li></ul>Job Type: Full-timePay: From AED1.00 per monthApplication Question(s):<ul><li>Do you have valid license?</li></ul><ul><li>How many years of homecare experience?</li></ul><ul><li>Willing to work in Abu Dhabi?</li></ul><ul><li>How many months is your notice period?</li></ul><ul><li>Expected date of joining?</li></ul><ul><li>Willing to work in Homecare?</li></ul>Work Location: Remote

BILLING AND MEDICAL CODER – HOMECARE

EZ MD Solutions

Job Overview:We are looking for a Billing Specialist to join our dynamic and growing team. The ideal candidate will be responsible for overseeing all aspects of the medical billing process from claim preparation and submission to payment posting, denial management, and account reconciliation. This role demands strong analytical abilities, excellent communication skills, and a deep understanding of U.S. healthcare billing procedures.Key Responsibilities:<ul><li>Prepare, review, and submit clean and accurate medical claims to insurance companies in a timely manner.</li><li>Perform eligibility and benefits verification (VOBs) for patients and document details accurately.</li><li>Analyze and address claim denials, rejections, and underpayments with attention to detail and accuracy.</li><li>Post insurance and patient payments, perform adjustments, and reconcile accounts.</li><li>Maintain up-to-date knowledge of payer policies, billing regulations, and compliance requirements.</li><li>Communicate effectively with insurance companies, patients, and internal departments to resolve billing-related issues.</li><li>Prepare and maintain reports on billing activities, payments, and outstanding claims.</li><li>Support process improvement initiatives to enhance billing accuracy and efficiency.</li><li>Manage Accounts Receivable (A/R) by following up on unpaid claims and ensuring prompt resolution.</li><li>Ensure compliance with HIPAA and other federal/state regulations regarding patient data.</li><li>Collaborate with management to identify trends in denials or delays and propose corrective actions.</li></ul>Qualifications:<ul><li>Experience: Minimum 1&ndash;2 years of proven experience in U.S. medical billing, revenue cycle management, DME Billing or Nursing home.</li><li>Knowledge: Strong understanding of CPT, ICD-10, and HCPCS coding standards.</li><li>Software Skills: Proficiency in medical billing software (e.g., Kareo, Office Ally, eClinicalWorks, etc.) and MS Office (Excel, Word, Outlook).</li><li>Communication: Excellent verbal and written English communication and the ability to interact professionally with clients, patients, and insurance representatives.</li><li>Education: Bachelor&rsquo;s degree in management, or related field (preferred).</li><li>Attention to Detail: High level of accuracy, organization, and ability to multitask in a fast-paced environment.</li><li>Team Player: Ability to collaborate effectively within a team while taking ownership of assigned tasks.</li></ul>Why Join Us:<ul><li>Opportunity to work in a collaborative and supportive environment.</li><li>Exposure to diverse medical billing specialties and payer systems.</li><li>Competitive salary and growth potential within the company.</li><li>Continuous training and skill development opportunities.</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs100,000.00 per monthAbility to commute/relocate:<ul><li>Rawalpindi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>What are your salary expectations for this role?</li><li>Are you willing to work onsite from 6:00 PM to 3:00 AM at our Rawalpindi office?</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Medical Billing: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Specialist

Doctors Urgent Care Group is a fast growing multi-million dollar urgent care corporation. We have 31 locations nationwide and staffing over 300 employees across 5 different states.We are looking for a full-time remote Medical Biller. The person filling this role will be reporting to the Director of Operations and will be working alongside a collaborative and talented team. This schedule is around 45-hours/week, 8:00 AM-05:00 PM Detroit USA time Monday-Friday.We offer competitive pay, with comprehensive benefits including Medical Compensation, Sick leaves, Holiday leaves and much more. (Salary will be based on experience)Job Duties:<ul><li>Understand insurance guidelines, Medicare and Medicaid, including urgent care and deductibles.</li><li>Verify insurance eligibility and benefits.</li><li>Bill Charts</li><li>Check charts completion.</li><li>Review/Audit charts for quality and proper coding.</li><li>Knowledge of medical billing software.</li><li>Investigate and resolve billing issues with patients.</li><li>Other duties and responsibilities as assigned.</li></ul>Requirements:Must have 3 or more years of experience as Medical Biller. Must have 3 or more years of Advanced MD experience Must be willing to take Advanced MD technical test.Job Type: Full-timePay: Rs70,000.00 - Rs100,000.00 per monthWork Location: Remote

Medical Biller (AR Specialist)

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