Medical Billing Specialist

Ptcoa; Little Rock (AR); Sur place; USD 40 000 - 60 000; Plein temps

Résumé du poste

Ptcoa is seeking a detail-oriented Medical Billing Specialist in Little Rock, Arkansas. This role involves accurately processing medical claims, performing coding for various procedures, and communicating with patients about billing issues. Candidates should have at least two years of experience in medical billing and coding, ideally with certifications such as CPC or CCS. Hands-on experience with EHR systems like Epic and Meditech is a plus. This position may allow for remote work based on experience and performance.

Qualifications

• Minimum of 2 years of experience in medical billing and coding.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Experience with insurance follow-up using EHR/EMR systems.

Responsabilités

• Process and submit medical claims accurately.
• Perform medical coding using ICD-10, CPT, and HCPCS.
• Research and resolve billing discrepancies or claim denials.

Connaissances

Medical coding

Attention to detail

Communication skills

Problem-solving

Formation

High school diploma or equivalent

Associate’s degree in Healthcare Administration or related field

Outils

Epic

Meditech

PrognoCis

Description du poste

Description

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement.

This position may offer the opportunity to work from home, depending on experience and performance.

Key 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.

Qualifications

• 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.

Preferred Skills

• Experience with Medicare/Medicaid billing and commercial insurance.
• Advanced knowledge of EHR/EMR workflows and system navigation.
• Ability to work independently and manage multiple tasks in a fast-paced environment.
• Customer service experience in a healthcare setting.