senior medical billing specialist

EdSavvy Solutions

Senior Prior Authorization Specialist &ndash; Medical BillingLocation: Building 1A, Block A, Architects &amp; Engineers Housing SocietyShift Timing: 5:00 PM &ndash; 2:00 AMJob Type: Full-TimeSalary: PKR 100,000+ per month (Based on experience and qualifications)Job OverviewWe are seeking an experienced and detail-oriented Senior Prior Authorization Specialist to join our Medical Billing team. The ideal candidate will have extensive experience in handling prior authorizations, insurance verification, and medication-related approvals while ensuring compliance with payer guidelines.Requirements<ul><li>Minimum 3+ years of experience in Prior Authorization within the Medical Billing industry.</li><li>Pharmacy graduation is mandatory.</li><li>Strong knowledge of medications, drug classifications, and insurance authorization processes.</li><li>Experience working with US healthcare providers, insurance companies, and pharmacy benefit managers.</li><li>Excellent communication and problem-solving skills.</li><li>Ability to work independently and manage multiple cases efficiently.</li><li>Strong attention to detail and accuracy.</li></ul>Key Responsibilities<ul><li>Process and manage prior authorization requests for medications and medical services.</li><li>Verify insurance eligibility and benefits.</li><li>Follow up with insurance companies, providers, and pharmacies regarding authorization status.</li><li>Review clinical documentation to support authorization requests.</li><li>Maintain accurate records and ensure timely approvals.</li><li>Stay updated on payer policies and authorization requirements.</li><li>Collaborate with healthcare providers and internal teams to resolve authorization issues.</li></ul>Benefits<ul><li>Competitive salary starting from PKR 100,000+ per month.</li><li>Career growth and development opportunities.</li><li>Professional and supportive work environment.</li><li>Performance-based increments and incentives.</li></ul>How to ApplyInterested candidates can share their resumes via:WhatsApp: 0328-4844169Pay: From Rs100,000.00 per monthWork Location: In person

Senior Prior Authorization Specialist

Invictus Account Management

We are looking for a Billing Specialist in our McKinney, TX location. This position is responsible for billing insurance companies for physician bills and performs other work associated with the process.Responsibilities:<ul><li>Prepares and submits physician claims to insurance carriers either electronically or by hard copy billing.</li><li>Secures needed medical documentation required or requested by third party insurances.</li><li>Follows up with third-party insurance carriers on unpaid claims until the claims are paid or only guarantor balance remains.</li><li>Handle insurance appeals.</li><li>Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.</li><li>May assist with rebills and/or posting payments to accounts.</li><li>Monitors claims for missing information and authorization/control numbers.</li></ul>Requirements:<ul><li>Proven experience as a Billing Specialist or similar role</li><li>Working knowledge of MS Office and capability of multi-tasking in different databases</li><li>Excellent communication skills (written and oral)</li><li>Excellent problem-solving, accuracy and organizational skills</li><li>High school diploma required. Associate or Bachelor&rsquo;s degree is a plus</li><li>Previous medical office experience and knowledge of billing procedures is desired</li></ul>This position is based in McKinney, TX and the hours are 8am-5pm Monday-Thursday and 8am-4pm on Friday. Please send your resume with salary requirements to info@invictusmgmt.comJob Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing Specialist

CSR SERVICES LLC

Medical Billing Specialist (US Healthcare)Location: Gulberg, LahoreJob Type: Full-TimeShift: 5:00 PM &ndash; 2:00 AMExperience Required: 4&ndash;5 YearsJob SummaryWe are seeking an experienced Medical Billing Specialist with 4&ndash;5 years of hands-on experience in US healthcare billing and Revenue Cycle Management (RCM). The ideal candidate will have a strong understanding of the complete medical billing lifecycle, including insurance verification, claims submission, denial management, accounts receivable follow-up, and payment posting.Key Responsibilities<ul><li>Process and submit medical claims accurately to insurance companies.</li><li>Manage the complete Revenue Cycle Management (RCM) process.</li><li>Verify patient insurance eligibility and benefits.</li><li>Follow up on unpaid, denied, or rejected insurance claims.</li><li>Investigate and resolve claim denials and payment discrepancies.</li><li>Post insurance and patient payments and reconcile accounts receivable.</li><li>Prepare and submit appeals for denied claims.</li><li>Communicate with insurance companies regarding claim status and payment issues.</li><li>Maintain accurate patient and billing records within EMR/EHR systems.</li><li>Work closely with physicians, clinics, and healthcare providers to resolve billing issues.</li><li>Analyze billing reports to identify opportunities for improving collections and reducing denials.</li><li>Ensure compliance with HIPAA regulations and healthcare billing standards.</li></ul>Required Qualifications<ul><li>4&ndash;5 years of experience in US Medical Billing.</li><li>Strong knowledge of CPT, ICD-10, and HCPCS coding systems.</li><li>Experience with Medicare, Medicaid, Commercial, and Private Insurance claims.</li><li>Hands-on experience with Revenue Cycle Management (RCM).</li><li>Strong background in claim submission, denial management, appeals, and accounts receivable follow-up.</li><li>Experience using EMR/EHR systems and medical billing software.</li><li>Excellent communication, analytical, and problem-solving skills.</li><li>Ability to manage multiple priorities while maintaining a high level of accuracy.</li><li>Ability to work independently and meet productivity targets.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your Expected Salary?</li><li>Have you worked as Medical Billing Specialist in Medical Billing Services?</li></ul>Work Location: In person

Pain, Spine & Rehab PA - SPECIALIZING in INTERVENTIONAL PAIN MANAGEMENT

Overview Join our dynamic healthcare team as a Medical Billing Specialist, where your expertise will drive the efficiency and accuracy of medical billing processes. In this vital role, you will manage the entire billing cycle, ensuring timely and precise reimbursement for healthcare services. Your attention to detail and knowledge of medical coding will directly impact the financial health of our organization while supporting excellent patient care. This position offers a rewarding opportunity to apply your skills in a fast-paced, collaborative environment dedicated to excellence.Duties<ul><li>Review and interpret medical records to accurately assign appropriate ICD-9, ICD-10 diagnosis codes, CPT (Current Procedural Terminology) codes, and DRG (Diagnosis-Related Group) classifications for billing purposes</li><li>Prepare and submit clean claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring compliance with insurance requirements and regulations</li><li>Follow up on unpaid or rejected claims through effective medical collection strategies, resolving discrepancies promptly</li><li>Maintain detailed documentation of billing activities, including medical records, coding adjustments, and correspondence with payers</li><li>Collaborate with healthcare providers to clarify documentation and ensure accurate coding for optimal reimbursement</li><li>Stay current with updates in medical coding standards, insurance policies, and regulatory guidelines to ensure compliance</li><li>Assist in auditing billing processes and records to identify areas for improvement and ensure adherence to best practices</li></ul>Requirements<ul><li>Proven experience in medical office settings with a strong background in medical billing and coding</li><li>Proficiency in ICD-9, ICD-10, CPT coding, DRG classifications, and medical terminology</li><li>Familiarity with EMR systems and EHR platforms used for billing and record management</li><li>Knowledge of medical collection procedures and insurance claim submission processes</li><li>Excellent attention to detail with strong organizational skills to manage multiple claims efficiently</li><li>Ability to interpret complex medical records accurately and communicate effectively with healthcare providers and payers</li><li>Prior experience in handling medical records, billing documentation, and regulatory compliance is highly desirable</li></ul>Join us as a Medical Billing Specialist and become an essential part of our mission to deliver outstanding healthcare services through precise financial operations. Your expertise will help streamline processes, maximize reimbursements, and support the overall well-being of our patients.Pay: $1.00 - $2.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Flexible schedule</li><li>Paid time off</li><li>Retirement plan</li></ul>Work Location: In person

Nation's Best Family Health Care

Job Overview This position is an On-Site position and requires this person to work in the office 5 days a week.We are seeking a detail-oriented and dedicated Medical Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding systems, and insurance claim procedures. As a Medical Billing Specialist, you will be responsible for ensuring accurate billing, coding, and collection of payments while maintaining compliance with healthcare regulations. Your expertise will contribute to the smooth financial operations of our medical practice and support optimal revenue cycle management.Responsibilities<ul><li>Review and process medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, and ICD-10 to ensure precise reimbursement.</li><li>Assign diagnosis and procedure codes accurately based on medical records and documentation, including DRG (Diagnosis-Related Group) classifications.</li><li>Submit claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring timely and compliant submissions.</li><li>Follow up on unpaid or denied claims through effective medical collections strategies to maximize revenue recovery.</li><li>Maintain detailed and organized medical records and billing documentation in accordance with privacy regulations and organizational policies.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies that may impact coding accuracy or reimbursement.</li><li>Stay current with updates in medical coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance.</li></ul>Skills<ul><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, and DRG classifications.</li><li>Strong knowledge of medical terminology, anatomy, and physiology to accurately interpret clinical documentation.</li><li>Experience working with EMR/EHR systems for billing and record management. Preferred eClinicalWorks experience.</li><li>Familiarity with medical billing procedures, insurance claim submission processes, and collections practices.</li><li>Ability to analyze medical records for accurate coding and billing purposes.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple claims efficiently.</li><li>Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. Join our team as a Medical Billing Specialist to play a vital role in ensuring accurate financial operations within a dynamic healthcare environment. Your expertise will help facilitate seamless revenue cycle management while supporting high-quality patient care delivery.</li></ul>Pay: $20.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Myrtue Medical Center

<div>SCHEDULE: Full-time; 40 hours per week; 8:30 am - 4:30 pm; Monday - Friday

The Medical Billing Specialist I is responsible for all insurance claims processing, from submission to payment according to contract. He/she is involved in the billing process and is required to perform all general office functions as well. He/she must reflect a positive, well-mannered attitude in all contacts. The Medical Billing Specialist I adheres to the mission, vision and values of Myrtue Medical Center in all aspects of job performance.
High school diploma required. Medical billing training would be an asset but not necessary. Certain certifications may be required. Minimum of two years medical billing experience required.
Files all claims in a timely manner to all carriers, making sure they are accurate in every detail. Keeps abreast of all changes in insurance, Medicare, Title XIX, MCO, and PPO rules and regulations. Investigates denied claims. Researches and resubmits unpaid/under paid claims according to department standards. Provides timely feedback to management of identified claims issues, repetitive errors and payer trends to expedite claims adjudication. Distributes payments to accounts on date received and reviews account balances for further action. Reviews accounts with credit or small balances to determine if they should be refunded, transferred, written off or left alone. Updates notes consistently and accurately in patient accounts. Handles billing questions from insurance carriers and Myrtue Medical Center Patient Financial Advocates. Makes necessary telephone calls to insurance companies and send patient letters in accordance with policy. Note: This is a partial list of key job areas. Contact HR for a complete job description.</div>

Medical Billing Specialist I

Conway Ophthalmology

We are a busy private Optometry and Ophthalmology practice located in downtown Conway. We are searching for a friendly and enthusiastic candidate who has an interest in providing great customer service while ensuring patients receive the very best eye care. We are accepting resumes and interviewing for a Medical Insurance Billing Specialist for Optometry/Ophthalmology. You must be able to multi-task, be reliable, professional, and have a friendly personality. A minimum of 2 years experience in medical billing is required.Responsibilities include but not limited to:<ul><li>Review and analyze medical documentation to ensure accurate coding and billing</li><li>Post insurance payments</li><li>Prepare, review, and transmit claims using billing software, including electronic and paper claim processing</li><li>Follow up on unpaid claims within standard billing cycle time frame</li><li>Call insurance companies regarding any discrepancy in payments</li><li>Answer patient or insurance telephone inquiries pertaining to assigned accounts</li><li>Perform other duties as needed</li></ul>If this is a position that interests you, please submit your resume with work history and references. A minimum of 2 years experience in medical billing is required. Experience in the optometric field is ideal. Full benefits package offered to full-time employees. Benefits include health and dental insurance, matching IRA contributions and Paid Time Off. Compensation is based on experience.Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>Medical Billing: 2 years (Required)</li></ul>Ability to Commute:<ul><li>Conway, SC 29526 (Required)</li></ul>Work Location: In person

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10000 senior medical billing specialist jobs Near Me

Senior Prior Authorization Specialist

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Medical Billing Specialist I

Medical Billing Specialist