Medical Biller/Coding Specialist

AAPC; Tulare (CA); On-site; USD 42,000 - 60,000; Full time

Job summary

AAPC is seeking a detail-oriented Medical Biller/Coding Specialist to accurately prepare and submit medical claims to insurance providers and ensure timely reimbursement. You will review patient records, code diagnoses and procedures, verify coverage, and resolve billing issues.

The ideal candidate has experience with CPT, ICD-10, HCPCS, HIPAA, and EHR systems, plus strong communication and teamwork skills. Competitive compensation and benefits await.

Qualifications

• Proven experience as a Medical Biller or in a similar role.
• In-depth knowledge of medical billing codes and insurance guidelines.
• Proficiency with EHR systems and billing software.

Responsibilities

• Review patient information and records to accurately code diagnoses and procedures.
• Prepare and submit medical claims to insurance companies.
• Verify insurance eligibility and coverage for patients.
• Follow up on unpaid claims and appeals when necessary.
• Resolve billing discrepancies and respond to patient inquiries.
• Stay up-to-date with changes in billing codes and HIPAA regulations.

Skills

Medical billing software

EHR systems

Attention to detail

Communication skills

Team collaboration

Education

High school diploma or equivalent

Associate degree in healthcare administration or related field

Tools

CPT/ICD-10/HCPCS knowledge

HIPAA compliance tools

Job description

Medical Biller/Coding Specialist

We are seeking a detail-oriented and organized Medical Biller/Coding Specialist to join our team. As a Medical Biller, you will be responsible for accurately preparing and submitting medical claims to insurance companies and ensuring timely reimbursement. Your attention to detail and knowledge of medical billing codes and procedures will contribute to the smooth operation of our healthcare facility.

Responsibilities:

• Reviewing patient information and medical records to accurately code diagnoses and procedures
• Preparing and submitting medical claims to insurance companies
• Verifying insurance eligibility and coverage for patients
• Following up on unpaid claims and denials, and appealing when necessary
• Resolving billing discrepancies and answering patient inquiries regarding their bills
• Keeping up-to-date with changes in medical billing codes and regulations
• Maintaining patient confidentiality and adhering to HIPAA guidelines

Requirements:

• High school diploma or equivalent; associate degree in healthcare administration or related field is a plus
• Proven experience as a Medical Biller or in a similar role
• In-depth knowledge of medical billing codes (CPT, ICD-10, HCPCS) and insurance guidelines
• Familiarity with medical terminology and procedures
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Proficiency in using medical billing software and electronic health records (EHR) systems
• Ability to work independently and collaboratively in a team environment
• Knowledge of HIPAA regulations and patient privacy laws

We offer competitive compensation and benefits packages. If you are a self-motivated individual with a passion for medical billing and want to contribute to a dynamic healthcare team, we would love to hear from you.