Medical Billing Specialist

Family Medical Center; Florida; On-site; USD 32,000 - 39,000; Full time

Benefits offered by this job

Dental insurance

Flexible schedule

Paid time off

Vision insurance

Job summary

Family Medical Center is seeking a detail-oriented Medical Billing Specialist to join our healthcare administration team. The ideal candidate will have a strong understanding of medical billing processes, coding systems, and insurance procedures, and will be responsible for processing claims, managing patient accounts, and ensuring timely reimbursement.

You will maintain compliance with healthcare regulations and collaborate with providers to resolve billing issues, while staying current with

Qualifications

• Proven experience in medical billing or coding in a clinical or hospital setting.
• Strong knowledge of CPT, ICD-9/10 and DRG classifications.
• Familiarity with EMR/EHR systems and billing software.

Responsibilities

• Submit claims using CPT/ICD/DRG classifications.
• Review records to ensure coding accuracy.
• Follow up on unpaid or denied claims with insurers.
• Maintain billing records in EMR/EHR systems.
• Verify patient insurance coverage and eligibility.
• Ensure compliance with privacy and healthcare regulations.

Skills

Medical billing

Medical coding

Healthcare administration

Attention to detail

Communication skills

Education

Medical billing certification

Tools

EMR/EHR platforms

Medical billing software

Job description

Job Summary

We are seeking a detail-oriented and knowledgeable Medical Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding systems, and insurance procedures. As a Medical Billing Specialist, you will be responsible for accurately processing claims, managing patient accounts, and ensuring timely reimbursement while maintaining compliance with healthcare regulations. Your expertise will contribute to the efficient financial operations of our healthcare facility and support high-quality patient care. Join our team as a Medical Billing Specialist to ensure seamless financial operations that support exceptional patient care through precise billing practices!

Duties

• Prepare and submit accurate medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.
• Review medical records and documentation to ensure proper coding and billing accuracy.
• Follow up on unpaid or denied claims through medical collection efforts and communicate with insurance providers to resolve discrepancies.
• Maintain detailed records of billing activities within Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems.
• Verify patient insurance coverage and eligibility prior to billing procedures.
• Ensure compliance with healthcare regulations, including proper handling of sensitive medical records and adherence to privacy standards.
• Collaborate with healthcare providers to clarify billing details and resolve billing issues promptly.
• Stay updated on changes in medical coding standards, insurance policies, and billing regulations to ensure ongoing compliance.

Requirements

• Proven experience in medical billing, medical coding, or healthcare administration within a clinical or hospital setting.
• Strong knowledge of medical terminology, medical records management and coding systems such as CPT, ICD-9, ICD-10, ICD coding, DRG classifications and EHR systems.
• Familiarity with medical billing software and EMR/EHR platforms used in healthcare facilities.
• Understanding of insurance processes, including pre-authorizations, claim submissions, denials management and collections.
• Excellent attention to detail with the ability to accurately interpret complex medical documentation.
• Effective communication skills for liaising with insurance companies, healthcare providers and patients.
• Prior experience in medical office environments is preferred but not mandatory; relevant training or certification is advantageous.
• Knowledge of healthcare compliance standards related to privacy and security of medical information.

Job Type

Full-time

Pay

$23.08 - $27.80 per hour

Expected hours

40 per week

Benefits

• Dental insurance
• Flexible schedule
• Paid time off
• Vision insurance

Application Question(s)

Primary Care Billing experience

Work Location

In person