Medical Billing Specialist

Connext; Bogotá; Presencial; COP 74.128.000 - 111.194.000; Jornada completa

Descripción de la vacante

A healthcare service provider in Bogotá is seeking a Medical Billing Specialist responsible for preparing, processing, and submitting medical billing claims. The ideal candidate will have experience with billing software, strong analytical skills, and effective communication abilities in English. This role is crucial for ensuring accurate claim submissions and compliance with regulatory standards.

Formación

• Experience using healthcare billing software and electronic health records.
• Strong understanding of billing procedures and healthcare coding.
• Ability to maintain confidentiality and comply with HIPAA regulations.

Responsabilidades

• Prepare and submit claims for facility services using coding systems.
• Monitor outstanding claims, resolve denials, and ensure timely payment.
• Verify patient insurance coverage and ensure documentation accuracy.

Conocimientos

Attention to detail

Analytical skills

Clear communication skills

Herramientas

Facility billing software

Electronic health record systems

Microsoft Office Suite

Descripción del empleo

Job Summary

The Medical Billing Specialist is responsible for preparing, submitting, and processing billing for medical services rendered within the facility. The role works closely with healthcare providers, insurance companies, and patients to ensure accurate claim submissions and timely pay.

Job Description

• Prepare and submit claims for facility services using appropriate coding systems (ICD‑10, CPT, HCPCS). Ensure claims are accurate and compliant with payer requirements.
• Monitor and follow up on outstanding claims, resolve denials or rejections, and ensure timely payment. Investigate and address any discrepancies or issues with claims.
• Verify patient insurance coverage and eligibility for facility services. Ensure accurate documentation of benefits and coverage details.
• Adhere to healthcare regulations, including HIPAA and payer‑specific guidelines. Ensure all billing practices are compliant with federal, state, and payer policies.
• Address patient inquiries related to billing, provide explanations of charges, and assist with payment arrangements as needed.
• Generate and review billing reports to track revenue cycle performance, identify trends, and suggest improvements. Maintain accurate and organized billing records.
• Collaborate with the billing team, healthcare providers, and administrative staff to resolve billing issues and enhance the billing process.
• Stay updated on changes in billing regulations, coding practices, and payer policies. Implement best practices to improve billing efficiency and accuracy.

Required Qualifications

• Experience using any facility billing software and electronic health record (EHR) systems.
• Experience using Microsoft Office Suite (Word, Excel, Outlook) and billing submission systems.
• Maintain confidentiality and ensure compliance with HIPAA and payer regulations.
• Has background in facility billing procedures and healthcare coding.
• Demonstrates strong attention to detail to ensure accurate billing and timely claim submission.
• Demonstrates analytical and problem‑solving skills to identify billing discrepancies and implement corrective actions.
• Clear and coherent both written and verbal communication skills in English for coordinating with providers and patients.