Insurance and Billing

Role Overview: As a Medical Billing Specialist, you will be responsible for preparing and submitting accurate insurance claims, verifying patient eligibility, resolving claim denials, maintaining patient billing records, and ensuring compliance with healthcare regulations and privacy standards. Key Responsibilities: - Prepare and submit accurate insurance claims to various insurers, ensuring all medical billing codes and documentation are correct. - Review patient information to confirm insurance coverage and eligibility before services are rendered or claims are submitted. - Investigate and resolve claim denials, discrepancies, and billing issues by communicating with insurance providers and healthcare staff. - Maintain updated and accurate patient billing records, financial statements, and account information. - Ensure all billing practices adhere to relevant healthcare regulations, privacy standards (like HIPAA), and insurance guidelines. Qualifications Required: - Proficiency with medical billing software and systems, strong data entry skills, and familiarity with productivity software like Microsoft Excel. - In-depth understanding of medical terminology, ICD-10 and CPT codes, and various insurance plans. - Excellent verbal and written communication skills for interacting with patients, insurance companies, and healthcare professionals. - High level of accuracy is crucial for handling sensitive financial and patient data. - Ability to manage multiple tasks, meet deadlines, and maintain organized records in a fast-paced environment.,