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Title
Text copied to clipboard!Medical Billing Specialist
Description
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We are looking for a dedicated and detail-oriented Medical Billing Specialist to join our healthcare team. The ideal candidate will have a strong understanding of medical billing procedures, insurance claims processing, and healthcare regulations. This role requires excellent organizational skills, the ability to work independently, and a commitment to maintaining patient confidentiality. As a Medical Billing Specialist, you will be responsible for ensuring that medical services are billed accurately and timely, following up on unpaid claims, and resolving any billing discrepancies. You will work closely with healthcare providers, insurance companies, and patients to ensure that all billing processes are handled efficiently and effectively. Your role will be crucial in maintaining the financial health of our medical practice, and you will play a key part in ensuring that patients receive the care they need without unnecessary financial stress. If you have a passion for healthcare and a knack for numbers, we encourage you to apply for this rewarding position.
Responsibilities
Text copied to clipboard!- Process and submit medical claims to insurance companies.
- Review and verify patient insurance information.
- Follow up on unpaid claims and resolve billing discrepancies.
- Communicate with insurance companies to resolve claim issues.
- Maintain accurate records of billing activities.
- Ensure compliance with healthcare regulations and billing guidelines.
- Assist patients with billing inquiries and payment plans.
- Generate and review billing reports for accuracy.
- Coordinate with healthcare providers to obtain necessary documentation.
- Update patient accounts with payment information.
- Handle patient billing complaints and provide solutions.
- Verify coding accuracy and correct any errors.
- Prepare and send patient statements.
- Monitor accounts receivable and follow up on overdue accounts.
- Collaborate with the finance department to reconcile accounts.
- Stay updated on changes in insurance policies and billing regulations.
- Train and mentor junior billing staff.
- Participate in audits and provide necessary documentation.
- Assist with the development of billing policies and procedures.
- Ensure confidentiality and security of patient information.
Requirements
Text copied to clipboard!- High school diploma or equivalent; associate's degree preferred.
- Certification in medical billing and coding (e.g., CPC, CPB) is a plus.
- Minimum of 2 years of experience in medical billing or a related field.
- Strong knowledge of medical terminology and billing codes (ICD-10, CPT, HCPCS).
- Proficiency in medical billing software and electronic health records (EHR) systems.
- Excellent attention to detail and accuracy.
- Strong organizational and time management skills.
- Ability to work independently and as part of a team.
- Excellent communication and interpersonal skills.
- Knowledge of healthcare regulations and compliance standards.
- Ability to handle sensitive and confidential information.
- Strong problem-solving skills and ability to resolve billing issues.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Ability to multitask and prioritize workload effectively.
- Customer service-oriented with a patient-focused approach.
- Ability to work under pressure and meet deadlines.
- Strong analytical skills and attention to detail.
- Knowledge of insurance policies and procedures.
- Ability to interpret and apply billing guidelines.
- Commitment to continuous learning and professional development.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical billing and coding?
- How do you ensure accuracy in your billing processes?
- What steps do you take to resolve billing discrepancies?
- How do you stay updated on changes in healthcare regulations and billing guidelines?
- Can you provide an example of a time when you successfully resolved a complex billing issue?
- How do you handle patient billing inquiries and complaints?
- What software and tools are you proficient in for medical billing?
- How do you prioritize your workload when dealing with multiple billing tasks?
- Can you describe your experience with insurance claims processing?
- How do you ensure patient confidentiality and data security in your work?
- What strategies do you use to follow up on unpaid claims?
- How do you handle working under pressure and meeting tight deadlines?
- Can you describe a time when you had to train or mentor a junior billing staff member?
- How do you ensure compliance with healthcare regulations in your billing practices?
- What do you find most challenging about medical billing, and how do you overcome it?
- How do you handle discrepancies between patient records and billing information?
- Can you describe your experience with electronic health records (EHR) systems?
- How do you handle communication with insurance companies to resolve claim issues?
- What steps do you take to ensure the accuracy of billing reports?
- How do you approach continuous learning and professional development in the field of medical billing?
