medical billing and coding specialist

Wisesolution

We are seeking a meticulous and experienced Medical Billing and Coding Specialist to join our practice, responsible for accurately translating healthcare services into universal medical codes (CPT, ICD-10, HCPCS) and managing the entire claims lifecycle. The ideal candidate will possess a strong understanding of insurance guidelines, payer policies, and compliance regulations to ensure timely and maximum reimbursement. Your duties will include submitting clean claims to various insurance providers, diligently following up on unpaid or denied claims, and resolving any discrepancies to facilitate prompt payment. Proficiency with billing software and electronic health records (EHR) systems is essential, along with excellent communication skills to effectively interact with patients regarding their accounts and billing inquiries. This role is critical to our financial operations, and we require a certified professional (e.g., CPC, CCS) who is detail-oriented and committed to maintaining the highest standards of accuracy and confidentiality.Job Type: Full-timePay: Rs50,000.00 - Rs70,000.00 per monthWork Location: In person

Medical billing and coding specialist

Day Surgery at RiverBend

Company OverviewDay Surgery at RiverBend is a leading multi-specialty surgery center dedicated to providing exceptional outpatient surgical care. Our mission is to ensure the highest quality of patient care for both adult and pediatric populations.Summary&quot;Medical Coding Specialist&quot; position located at RiverBend, where you will play a crucial role in ensuring accurate medical coding and billing processes. Your expertise will directly contribute to our commitment to delivering outstanding surgical care.Responsibilities<ul><li>Accurately code medical procedures using NDC, HCPCS, CPT, and ICD-10 standards.</li><li>Review and analyze operative notes for completeness and accuracy.</li><li>Collaborate with healthcare professionals to ensure proper documentation.</li><li>Maintain up-to-date knowledge of coding guidelines and regulations.</li><li>Assist in the development of coding policies and procedures.</li><li>Support billing processes by ensuring timely submission of claims.</li><li>Provide training and support to staff regarding coding practices.</li><li>Participate in quality assurance audits related to coding accuracy.</li></ul>Qualifications<ul><li>Proven experience in medical coding and insurance billing with proficiency in HCPCS, NDC, CPT, ICD-10, and Encoder Pro.</li><li>Strong understanding of medical terminology and anatomy.</li><li>Proficiency with EMR and EHR systems required.</li><li>Excellent attention to detail and analytical skills.</li><li>Ability to work collaboratively in a fast-paced environment.</li><li>Certification in medical coding (e.g., CPC, CCS) is required.</li><li>A minimum 2 years of prior experience in medical coding is required and billing experience is desired.</li><li>If you are passionate about making a difference in patient care through accurate coding and billing practices, we invite you to join our dedicated team at Day Surgery at RiverBend. Apply now and help us continue our mission of excellence!</li></ul>Job Type: Full-timePay: $26.27 - $32.81 per hourExpected hours: 40 per weekBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: Hybrid remote in Springfield, OR 97477

Medical Coder/Biller - Multi-Specialty Ambulatory Surgery Center

Progressive Resource

We are seeking a dynamic Business Development Specialist with experience in medical billing and revenue cycle management (RCM) to identify opportunities, build relationships, and drive new business growth. The ideal candidate understands the U.S. healthcare market, including payer requirements, CPT/ICD coding basics, and the end-to-end medical billing process.Key Responsibilities<ul><li>Identify, prospect, and develop new business opportunities in the medical billing and healthcare outsourcing space.</li><li>Build and maintain strong relationships with healthcare providers, physician groups, hospitals, and clinics.</li><li>Present and promote company services to prospective clients through calls, emails, virtual meetings.</li><li>Conduct needs assessments and create customized proposals based on client requirements.</li><li>Collaborate with operations and RCM teams to ensure smooth onboarding and service delivery for new clients.</li><li>Track and manage leads, opportunities, and pipeline activities using CRM tools (e.g., Salesforce, HubSpot).</li><li>Stay informed on industry trends, payer policy changes, and competitors&rsquo; offerings.</li><li>Achieve or exceed monthly and quarterly sales targets and KPIs.</li><li>Attend industry events, trade shows, or webinars to network and generate leads.</li></ul>Qualifications &amp; Skills<ul><li>Bachelor&rsquo;s degree in Business Administration, Healthcare Management, or a related field (preferred).</li><li>4+ years of experience in business development, sales, or account management within medical billing, RCM, or healthcare services.</li><li>Strong understanding of medical billing workflows, payer processes, and basic coding knowledge (CPT, ICD-10).</li><li>Proven ability to generate leads, close deals, and meet revenue targets.</li><li>Excellent communication, negotiation, and presentation skills.</li><li>Proficiency with CRM systems and MS Office Suite.</li><li>Self-motivated, results-driven, and able to work independently or as part of a team.</li></ul>Job Type: Full-timeWork Location: In person

Business Development Specialist (Medical Billing)

One Machine Software

We are looking for a detail-oriented Medical Coder with experience in getting approvals. The ideal candidate will be responsible for accurately coding patient diagnoses, treatments, and procedures to support proper insurance billing and compliance. This is a full-time, on-site role based in Gulberg 3, Lahore, requiring availability for night shifts. Candidates without relevant experience will not be considered.Key Responsibilities:Required Qualifications:Additional Information: This is a full-time position offering a monthly salary between Rs55,000 and Rs80,000. The role is based on-site in Gulberg 3, Lahore, and requires candidates to be available for evening shifts. Applicants must reside in Lahore to be eligible for consideration.Candidates who meet the outlined qualifications and are comfortable working evening hours are encouraged to apply.<ul><li>Review clinical documentation to ensure correct coding for insurance and billing purposes.</li><li>Maintain compliance with healthcare regulations and coding standards.</li><li>Work closely with healthcare providers to clarify any coding-related information when needed.</li><li>Certification as a CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or an equivalent credential.</li><li>Strong understanding of medical terminology, anatomy, and disease processes.</li><li>Proven experience in medical coding, preferably within a hospital or clinical setting.</li><li>Exceptional attention to detail and strong organizational skills.</li></ul>Job Type: Full-timePay: Rs55,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Billing Associate / Verification Specialist

3D Solutions LLC

Job description:Credentialing Specialist Preferred Experience: 3months to 2yearsIdeal candidate must have followed:<ul><li>Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups.</li><li>Track all activities in the process of credentialing/recredentialing providers and clinics.</li><li>Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed.</li><li>Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed.</li><li>Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.</li><li>Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues.</li><li>This also includes outstate applications.</li><li>Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients.</li><li>Responsible for generating daily production or worksheet reports as assigned by management.</li><li>Publishing regular credentialing status reports and metrics for customers.</li></ul>Required Candidate profile. .<ul><li>Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes.</li><li>Basic knowledge of collection laws, rules, and regulations.</li><li>Client Account Management/Client Interaction experience will be a big plus.</li><li>Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar.</li><li>Knowledge of medical billing and medical coding will be big plus.</li><li>Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc.</li></ul>Competencies:<ul><li>Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients.</li><li>Professional and able to make a great impression on the phone. Required to understand, communicate &amp; work regularly with USA based team.</li><li>Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab.</li><li>Must have long term association with Chandigarh Tricity area.</li><li>Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions.</li><li>Willing to cross train and cross learn other areas of RCM.</li><li>Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information.</li><li>Must have very strong work ethic and excellent attention to detail.</li></ul>Job Types: Full-time, Permanent, FresherPay: &#8377;20,000.00 - &#8377;25,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Work Location: In person

Junior Credentialing Coordinator - Medical Billing

GENISYS SOFTWARE TRANING INSTITUTE

Overview We are seeking a detail-oriented and knowledgeable Medical Biller to join our healthcare team. The ideal candidate will have a strong background in medical billing and coding, with experience in various coding systems such as CPT, ICD-9, ICD-10, and HCPCS. This role is crucial for ensuring accurate billing processes and maintaining compliance with healthcare regulations. The Medical Biller will work closely with healthcare providers to ensure that all billing information is processed efficiently and accurately.Responsibilities<ul><li>Review and verify patient information for accuracy before billing.</li><li>Prepare and submit claims to insurance companies using appropriate coding systems (CPT, ICD-9, ICD-10, HCPCS).</li><li>Follow up on unpaid claims and resolve any discrepancies or issues with billing.</li><li>Maintain detailed documentation of billing processes and patient accounts.</li><li>Collaborate with medical staff to ensure proper coding practices are followed.</li><li>Conduct documentation reviews to ensure compliance with regulations.</li><li>Provide training and support to staff on medical billing procedures and coding practices.</li><li>Assist in lesson planning and teaching sessions related to medical terminology and health information management.</li></ul>Experience<ul><li>Proven experience in a medical office setting with a focus on medical billing and coding.</li><li>Familiarity with Epic software is highly desirable.</li><li>Strong understanding of medical terminology, anatomy, physiology, and health information management principles.</li><li>Experience in adult education or classroom settings is a plus, particularly in teaching medical coding concepts.</li><li>Ability to effectively communicate complex information clearly to both clinical staff and patients.</li><li>Strong organizational skills with attention to detail in documentation review processes. Join our team as a Medical Biller where your expertise will contribute significantly to the efficiency of our healthcare operations. We look forward to welcoming a dedicated professional who is passionate about ensuring accurate billing practices within the healthcare industry.</li></ul>Job Type: Part-timePay: From &#8377;5,000.00 per hourExpected hours: No less than 4 per weekWork Location: Remote

Medical Coding and Billing Instructor

Romeo Staffing Agency

Location: Karachi, Pakistan Shift: 6:00 PM &ndash; 3:00 AM (Monday to Friday) Salary: Market Competitive (based on experience) Job Type: Full-time | On-siteAbout the RoleRomeo Staffing Agency is seeking an experienced and detail-oriented RCM Specialist to join our medical billing operations team in Karachi. In this role, you will manage the end-to-end revenue cycle &mdash; from patient registration and insurance verification to claims submission, payment posting, denial management, and collections. Your expertise will play a critical role in ensuring timely reimbursements and financial accuracy for our US healthcare clients.Key Responsibilities<ul><li>Manage the complete revenue cycle, ensuring accurate and timely billing and collections.</li><li>Verify patient insurance eligibility and benefits prior to services.</li><li>Review and apply proper coding (ICD-10, CPT, HCPCS) for all services.</li><li>Submit clean claims electronically to Medicare, Medicaid, and commercial payers.</li><li>Monitor unpaid claims, manage AR, and follow up with payers for outstanding balances.</li><li>Resolve claim rejections, denials, and appeals promptly.</li><li>Post payments and reconcile billing data in the system.</li><li>Collaborate with physicians, billers, and payers to address discrepancies while maintaining compliance.</li><li>Maintain accurate documentation of billing activities and prepare performance reports.</li><li>Stay updated on payer guidelines and US healthcare billing regulations.</li></ul>Requirements<ul><li>Minimum 2 years of experience in US Healthcare Revenue Cycle Management.</li><li>Strong knowledge of insurance billing, coding (ICD-10, CPT, HCPCS), EOBs, and denial management.</li><li>Hands-on experience with billing/practice management software (e.g., Kareo, AdvancedMD, Athena).</li><li>Excellent analytical and problem-solving skills.</li><li>Strong written and spoken English communication.</li><li>Ability to work independently and manage multiple accounts efficiently.</li><li>Prior experience with US-based physician groups or clinics is highly preferred.</li></ul>Why Join Romeo Staffing Agency (RSA)?<ul><li>Competitive, market-aligned salary.</li><li>Exposure to US healthcare systems and billing practices.</li><li>Growth opportunities in a specialized healthcare support environment.</li><li>Collaborative team culture with a strong focus on quality and performance.</li></ul>Work Location: On-site, KarachiJob Type: Full-timeWork Location: In person

RCM Specialist (Physician Billing)

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