Billing specialist

The Weston Group; Easton (Northampton County); On-site; USD 38,000 - 61,000; Full time

Job summary

The Weston Group in the United States is seeking a detail-oriented Billing Specialist to join our team. The ideal candidate will have experience in medical billing and coding, knowledge of medical terminology, and be proficient in medical office systems.

This full-time, in-person role focuses on accurate claim processing and effective communication with insurers and patients. Minimum qualifications include a high school diploma and experience with Medicare/third-party billing; post-secondary

Qualifications

• Detail-oriented with accuracy in data entry.
• Experience in medical billing and coding preferred.
• Familiarity with ICD-10 coding standards and medical terminology.
• Proficiency in medical office systems and software.

Responsibilities

• Review and process medical bills for insurance claims
• Submission of corrected claims, reconsiderations, and appeals as necessary
• Work closely with insurance companies and provider representatives to get proper payment
• Communicate payment or denials that impact revenue to leadership
• Review outstanding accounts and aging reports
• Phone contact with patients and family members regarding out-of-pocket expenses and to resolve billing questions
• Communicate with insurance companies to resolve billing issues
• Maintain patient records and confidentiality
• Collaborate with professional staff to clarify diagnoses or obtain additional information

Skills

Billing experience

Medical terminology

Data entry accuracy

Communication skills

Education

High School Diploma or equivalent

Post high school coursework in billing and medical terminology

Tools

Medical office systems

Job description

Description

Job Overview

We are seeking a detail-oriented Billing Specialist to join our team. The ideal candidate will have experience in medical billing and coding, possess knowledge of medical terminology, and be proficient in medical office systems.

Responsibilities

• - Review and process medical bills for insurance claims
• - Submission of corrected claims, reconsiderations, and appeals as necessary
• - Work closely with insurance companies and provider representatives to get proper payment
• - Communicate payment or denials that impact revenue to leadership
• - Review outstanding accounts and aging reports
• - Phone contact with patients and family members regarding out-of-pocket expenses and to resolve billing questions
• - Communicate with insurance companies to resolve billing issues
• - Maintain patient records and confidentiality
• - Collaborate with professional staff to clarify diagnoses or obtain additional information

Preferred Experience

• - Previous experience in medical billing, coding, or collections is preferred
• - Familiarity with medical terminology, procedures, and DDE
• - Proficiency in medical office systems and software
• - Knowledge of ICD-10 coding standards
• - Strong attention to detail and accuracy in data entry

Job Type: Full-time

Schedule

• Monday to Friday 8-4:30

Work Location: In person

QUALIFICATIONS, REQUIRED CREDENTIALS

• High School Diploma or equivalent
• One year prior experience in billing of Medicare and third party insurance for professional services preferred.
• Post high school courses in insurance billing, data processing and medical terminology preferred.
• Ability to sit for long periods of time.
• Ability to work under stress, with interruptions and deadlines.
• Ability to process verbal information and input this information into computer system.
• Ability to enter and retrieve data from computer.
• Ability to operate modern office business machinery.
• Ability to converse in calm and friendly manner.
• Ability to communicate on phone.