Medical Billing Specialist
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Skills
denial managementehremricd-10insurance verificationmedical billingmedical terminologyprior authorizationrevenue cycle
About the role
Description
We are seeking a dedicated and organized Medical Billing Associate to join our team. This position involves various tasks aimed at supporting the Revenue Cycle process and ensuring the smooth operation of the clinic and surgical center. The ideal candidate will have a thorough knowledge of health insurance coverage, deductible, co-insurance, out of pocket, referrals, and prior authorizations. The schedule will be Monday through Friday- 8:30 am-5:00 pm.
Key Responsibilities:
- Insurance Verification & Pre-Authorization: Verify patient coverage, check plan benefits, and secure necessary pre-authorization prior to services
- Denial Management & Appeals: Review rejected or denied claims, research root causes, correct errors, and submit timely appeals.
- Patient Communication: Answer billing inquiries and explain copays and deductibles, and set up payment plans.
Requirements
- Education: High School diploma or equivalent; completion of a medical billing and coding program or associate degree is preferred
- Experience: 1 to 3 years of experience in medical billing, healthcare administration, or a related revenue cycle role
- Technical Skills: Proficiency with electronic health records (EMR) and practice management billing software and working knowledge of medical terminology and coding systems (CPT, ICD-10)