Medical Billing Specialist

Jobtailor; Batesville (AR); On-site; USD 35,000 - 54,000; Full time

Job summary

Jobtailor in Batesville, AR is seeking a skilled Medical Billing and Coding Specialist to accurately process claims, code with ICD-10, CPT, HCPCS, and generate cost estimates for procedures.

You will work with Epic, Meditech, PrognoCis, ensure HIPAA compliance, review data in EHR/EMR, and handle denials and appeals while communicating with patients.

Qualifications

• Minimum 2 years of experience in medical billing, coding, and insurance follow-up.
• Strong knowledge of ICD-10, CPT and HCPCS coding systems.
• Experience with EHR/EMR systems (Epic, Meditech, PrognoCis).
• Ability to prepare cost estimates for medical procedures.
• HIPAA and CMS compliance knowledge.

Responsibilities

• Process and submit medical claims to payers.
• Code diagnoses and procedures using ICD-10, CPT, HCPCS.
• Generate cost estimates based on coverage and contracts.
• Review billing data in EHR/EMR before submission.
• Use EHR/EMR platforms (Epic, Meditech, PrognoCis).
• Resolve billing discrepancies or denials.
• Prepare and submit insurance appeals.
• Communicate with patients about billing and coverage.
• Stay updated on medical terminology and payer guidelines.
• Collaborate with clinicians to ensure accurate coding.
• Track accounts receivable and follow up on outstanding claims.

Skills

Medical billing

Medical coding

Communication

Attention to detail

Problem solving

Organizational skills

Education

High school diploma or equivalent

Associate's degree in Healthcare Administration, Billing & Coding, or related field

CPC (Certified Professional Coder)

CCS (Certified Coding Specialist)

Tools

Epic

Meditech

PrognoCis

Job description

Responsibilities

• Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.
• Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
• Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
• Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission.
• Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows.
• Research and resolve billing discrepancies or claim denials.
• Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
• Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.
• Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.).
• Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems.
• Track accounts receivable and follow up on outstanding claims to maximize revenue.

Requirements

• High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred.
• Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Hands‑on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis.
• Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations.
• Experience creating cost estimates for medical procedures.
• Skilled in preparing and submitting appeals for denied claims.
• Proficiency with medical billing software and electronic health record (EHR) systems.
• Strong attention to detail, problem‑solving, and organizational skills.
• Excellent written and verbal communication skills.