Revenue Cycle Management is looking for a Medical Billing Specialist to join our team! Hybrid opportunity after 90 days of in-person training (2 days from home, 3 days in office).
SUMMARY: The Medical Billing Specialist is responsible for analyzing patients records and coding the patients records based on ICD-10 and CPT codes. Additionally, ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections.
Knowledge of medical billing processes, including insurance verification, prior authorization, patient responsibility, and workers compensation
Knowledge of explanation of benefits (EOBs), remittance advice, and coordination of benefits (COB) processing
Working knowledge of medical terminology and ICD-10, CPT, and HCPCS coding systems as they relate to billing accuracy
Knowledge of payer guidelines, including government and commercial insurance requirements, claims submission, and denial management
Proficient in electronic billing systems and claim forms, including HCFA Form CMS-1500
Experience with electronic medical records (EMR) and practice management systems
Strong analytical and problem-solving skills with the ability to identify and resolve billing discrepancies
High attention to detail and accuracy in reviewing and processing claims
Strong organizational and time management skills with the ability to prioritize tasks effectively
Ability to work independently with minimal supervision and adapt to changing priorities
Effective written and verbal communication skills, including the ability to communicate professionally with internal teams and external parties
Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint
High School Diploma or GED
Three (3) years of experience with medical billing, accounts receivable, or revenue cycle operations
Medical billing certification in lieu of experience
3 Medical Plans
2 Dental Plans
2 Vision Plans
Employee Assistant Program
Short- and Long-Term Disability Insurance
Accidental Death & Dismemberment Plan
401(k) with a 2-year vesting
PTO + Holidays
Billing Specialist • Houston, TX, United States
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