Medical Billing and Coding Specialist

Jobtailor; Deutschland; Remote; EUR 30.000 - 48.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a meticulous Medical Billing Specialist to manage patient billing records, add ICD-9 codes, and process insurance claims in a fast-paced, remote environment.

You will ensure HIPAA compliance, maintain accurate data entry, attach supporting documentation, and strive for high QA scores while delivering reliable customer service.

Qualifications: 1–2 years medical billing, HS diploma; CAC and QMC Biller Certification preferred.

Qualifikationen

• High School Diploma or equivalent required.
• 1–2 years of Medical billing preferred.
• Certified Ambulance Coder (CAC) preferred.
• Demonstrated ability or willingness to attain QMC Biller Certification upon employment.
• Must be able to type 35 wpm.
• Basic computer skills, including ability to utilize multiple windows and programs simultaneously.
• Customer service oriented.
• Attention to detail and focus on quality.
• Organizational skills.
• Sufficient written and oral communication skills.
• Ability to work in a fast-paced environment.
• Ability to work with minimal supervision.
• Ability to independently manage all aspects of the job role, including required goals and business practices, in a remote environment.

Aufgaben

• Review patient medical records and supporting documentation.
• Add required data elements to accounts in the billing platform, including ICD-9 codes, charges, and billing narratives.
• Complete tasks according to Quick Med Claims policies and state and federal guidelines.
• Meet or exceed defined productivity standards.
• Properly notate reviewed accounts.
• Attach necessary documentation within the system or to paper 1500s.
• Obtain additional information from clients, including HIPAA forms, insurance pre-authorizations, and physician medical necessity forms, to submit third‑party claims.
• Review billing documents using dates from patient care reports, physician medical necessity forms, and hospital face sheets.
• Review and validate claims electronically or on paper.
• Monitor tags or workflows for timely claim validation.
• Process insurance claim forms according to federal and state laws and departmental procedures.
• Provide accurate billing in compliance with regulatory requirements and internal policies.
• Achieve and maintain billing accuracy scores during quality assurance and audit activities.
• Adhere to HIPAA privacy policies and protect sensitive patient information.
• Perform additional duties as assigned.

Kenntnisse

Medical Billing

ICD-9 Codes

Data Entry

Claim Processing

Billing Accuracy

Quality Assurance

Documentation Review

Insurance Pre-Authorizations

Typing Speed 35 WPM

QMC Biller Certification

Ausbildung

High School Diploma

CAC Certification

QMC Biller Certification

Tools

Billing Platform

Electronic Claims Processing

Paper 1500 Forms

Multiple Windows Utilization

Jobbeschreibung

• Review patient medical records and supporting documentation
• Add required data elements to accounts in the billing platform, including ICD-9 codes, charges, and billing narratives
• Complete tasks according to Quick Med Claims policies and state and federal guidelines
• Meet or exceed defined productivity standards
• Properly notate reviewed accounts
• Attach necessary documentation within the system or to paper 1500s
• Obtain additional information from clients, including HIPAA forms, insurance pre-authorizations, and physician medical necessity forms, to submit third‑party claims
• Review billing documents using dates from patient care reports, physician medical necessity forms, and hospital face sheets
• Review and validate claims electronically or on paper
• Monitor tags or workflows for timely claim validation
• Process insurance claim forms according to federal and state laws and departmental procedures
• Provide accurate billing in compliance with regulatory requirements and internal policies
• Achieve and maintain billing accuracy scores during quality assurance and audit activities
• Adhere to HIPAA privacy policies and protect sensitive patient information
• Perform additional duties as assigned

Requirements

• High School Diploma or equivalent
• 1–2 years of Medical billing preferred
• Certified Ambulance Coder (CAC) preferred
• Demonstrated ability or willingness to attain QMC Biller Certification upon employment
• Must be able to type 35 wpm
• Basic computer skills, including ability to utilize multiple windows and programs simultaneously
• Customer service oriented
• Attention to detail and focus on quality
• Organizational skills
• Sufficient written and oral communication skills
• Ability to work in a fast‑paced environment
• Ability to work with minimal supervision
• Ability to independently manage all aspects of the job role, including required goals and business practices, in a remote environment

Core Competencies

Demonstrates expertise in medical billing processes, including the application of ICD-9 codes and compliance with HIPAA regulations. Possesses strong organizational and communication skills to effectively manage billing tasks and maintain accuracy in a fast‑paced environment.

Highest-signal resume keywords

• Medical Billing Experience
• ICD-9 Coding
• HIPAA Compliance
• Attention to Detail
• Customer Service Orientation

Hard Skills

• Medical Billing
• ICD-9 Codes
• Data Entry
• Claim Processing
• Billing Accuracy
• Quality Assurance
• Documentation Review
• Insurance Pre-Authorizations
• Typing Speed (35 WPM)
• QMC Biller Certification

Soft Skills

• Organizational Skills
• Written Communication
• Oral Communication
• Ability to Work Independently
• Adaptability in Fast-Paced Environment

Certifications & Qualifications

• High School Diploma
• Certified Ambulance Coder (CAC)
• QMC Biller Certification

Industry Keywords

• Patient Medical Records
• Billing Narratives
• Federal Guidelines
• State Guidelines
• Regulatory Requirements

Tools & Technologies

• Billing Platform
• Electronic Claims Processing
• Paper 1500 Forms
• Multiple Windows Utilization