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Title

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Healthcare Billing Specialist

Description

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We are looking for a dedicated and detail-oriented Healthcare Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and coding, with a thorough understanding of healthcare insurance policies and procedures. This role is crucial in ensuring that healthcare providers receive accurate and timely payments for services rendered. The Healthcare Billing Specialist will be responsible for managing patient billing, processing insurance claims, and resolving any discrepancies that may arise. This position requires excellent communication skills, as you will be interacting with patients, insurance companies, and healthcare providers. You must be able to work independently and as part of a team, with a strong focus on accuracy and efficiency. The successful candidate will be proficient in using billing software and electronic health records (EHR) systems. Additionally, you should be familiar with the latest healthcare regulations and compliance standards. If you are a problem-solver with a passion for healthcare and a knack for numbers, we encourage you to apply.

Responsibilities

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  • Process and submit insurance claims accurately and timely.
  • Review and verify patient billing information for accuracy.
  • Resolve billing discrepancies and follow up on unpaid claims.
  • Communicate with insurance companies to resolve claim issues.
  • Maintain patient billing records and update information as needed.
  • Ensure compliance with healthcare regulations and standards.
  • Assist patients with billing inquiries and payment plans.
  • Generate and review billing reports for accuracy and completeness.
  • Coordinate with healthcare providers to obtain necessary documentation.
  • Monitor and manage accounts receivable to ensure timely payments.
  • Perform regular audits of billing processes and records.
  • Stay updated on changes in insurance policies and billing procedures.
  • Train and support new billing staff as needed.
  • Collaborate with other departments to improve billing processes.
  • Handle sensitive patient information with confidentiality and professionalism.

Requirements

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  • High school diploma or equivalent; associate's or bachelor's degree preferred.
  • Certification in medical billing and coding (e.g., CPC, CCS) is a plus.
  • Minimum of 2 years of experience in healthcare billing or a related field.
  • Proficiency in billing software and electronic health records (EHR) systems.
  • Strong understanding of healthcare insurance policies and procedures.
  • Excellent communication and interpersonal skills.
  • Attention to detail and strong organizational skills.
  • Ability to work independently and as part of a team.
  • Knowledge of healthcare regulations and compliance standards.
  • Problem-solving skills and ability to handle billing discrepancies.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
  • Ability to manage multiple tasks and meet deadlines.
  • Strong analytical skills and ability to generate accurate reports.
  • Experience with Medicare and Medicaid billing is a plus.
  • Ability to handle sensitive information with confidentiality.

Potential interview questions

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  • Can you describe your experience with medical billing and coding?
  • How do you ensure accuracy when processing insurance claims?
  • What billing software and EHR systems are you proficient in?
  • How do you handle billing discrepancies and unpaid claims?
  • Can you provide an example of a time you resolved a complex billing issue?
  • How do you stay updated on changes in healthcare regulations and insurance policies?
  • Describe a situation where you had to communicate with an insurance company to resolve a claim issue.
  • How do you manage your workload to ensure timely processing of claims?
  • What steps do you take to maintain patient confidentiality?
  • How do you handle billing inquiries from patients?