Responsibilities
- Review patient bills for accuracy, completeness, and obtain any missing information.
- Verify insurance coverage and eligibility for patients.
- Determine appropriate billing distributions and code claims using CPT, ICD-10, and HCPCS coding systems.
- Follow up on unpaid claims within standard billing cycle timeframe.
- Ensure billing practices adhere to legal and ethical standards, including HIPAA regulations.
- Process electronic payment postings and reconcile accounts.
- Identify and bill secondary or tertiary insurances as needed.
- Perform data entry to maintain accurate patient records and billing information.
- Handle inquiries from patients, insurance companies, and healthcare providers regarding billing issues.
- Collaborate with the coding team to resolve billing discrepancies and denials.
- Maintain confidentiality of patient information and adhere to data protection regulations.
Qualifications
- Basic knowledge of medical claims or insurance terminologies is an advantage.
Screening Criteria
- Bachelor’s degree in a related field or an equivalent combination of education and related work experience.
- At least two (2) years of experience as a Medical Billing Specialist or at least six (6) months of experience in payment posting is preferred.
- Must have stable employment history.
