Medical Billing Specialist - Accurate Claims & Reimbursement

Bradley Physician Services, LLC; United States; On-site; USD 35,000 - 52,000; Full time

Job summary

Bradley Physician Services, LLC is seeking a Billing Specialist responsible for accurate and timely processing of medical claims to ensure proper reimbursement and maintain patient accounts.

You will review demographics, follow up on denied claims, and communicate with insurers and patients to resolve discrepancies, while maintaining HIPAA confidentiality and up-to-date billing guidelines.

Qualifications

• High school diploma or equivalent; an associate degree in medical billing, healthcare administration, or related field preferred.
• Minimum of 2 years of experience in medical billing.
• Proficient in CPT, ICD-10, and HCPCS coding.
• Excellent understanding of insurance carrier requirements and reimbursement methodologies.

Responsibilities

• Prepare and submit claims to insurance companies and other third-party payers electronically and manually.
• Review and verify patient demographic and insurance information for accuracy and completeness.
• Follow up on unpaid or denied claims, appealing as necessary, and resubmitting corrected claims.
• Communicate with insurance companies, patients, and other healthcare providers to resolve billing discrepancies and answer inquiries.
• Process patient payments, post adjustments, and generate patient statements.
• Identify and resolve coding errors and claim rejections.
• Maintain accurate and organized billing records and documentation.
• Stay up-to-date with changes in billing regulations, coding guidelines, and insurance policies.
• Assist with month-end closing activities related to accounts receivable.
• Protect the confidentiality of patient information in accordance with HIPAA regulations.

Skills

Communication skills

Teamwork

Education

High school diploma or equivalent

Associate degree in medical billing or healthcare administration

Tools

Medical billing software

EHR systems

Microsoft Office Suite

Job description

Bradley Physician Services, LLC is seeking a Billing Specialist responsible for accurate and timely processing of medical claims to ensure proper reimbursement and maintain patient accounts.

You will review demographics, follow up on denied claims, and communicate with insurers and patients to resolve discrepancies, while maintaining HIPAA confidentiality and up-to-date billing guidelines.