Medical Billing Specialist for Multi-Specialty Clinic

Mehta Medical Group; Houston (TX); Vor Ort; USD 25.000 - 29.000; Vollzeit

Zusammenfassung

Wellspire Medical Group is seeking a Billing Specialist to handle charge entry, claims submission, and revenue cycle support across multiple specialties. The role includes administrative tasks for the Appeals Team, data integrity for patient demographics, and documentation management within the practice management system.

The ideal candidate will have 1–2 years of medical billing experience, familiarity with CPT/ICD-10, and proficiency in EMR systems such as eClinicalWorks.

Qualifikationen

• High school diploma or equivalent; CPC or billing certification preferred.
• 1–2 years medical billing experience in multi-specialty settings.
• Knowledge of CPT, ICD-10, and basic billing guidelines.
• Experience with EMR/PM systems (eClinicalWorks preferred).
• Familiar with insurance claims, denials and appeals processes.

Aufgaben

• Enter charges accurately into the practice management system based on provider documentation.
• Review claims for completeness and accuracy prior to submission.
• Submit electronic and paper claims to insurance carriers in a timely manner.
• Ensure claims meet payer-specific guidelines and requirements.
• Work claim edits and rejections to ensure clean claim submission.
• Monitor claim status and assist with follow-up as needed.
• Enter and update patient demographic information accurately.
• Verify completeness of patient accounts prior to claim submission.
• Correct demographic errors that may cause claim denials or delays.
• Maintain confidentiality and compliance with HIPAA regulations.
• Assist with preparing and submitting appeals via fax and mail.
• Print, organize, and compile documentation for appeal packets.
• Track appeal submissions and ensure proper documentation is attached.
• Support Appeals Team with administrative tasks as needed.
• Fax and mail documents related to billing, claims, and appeals.
• Scan and upload documents into patient accounts.
• Maintain organized records of submitted claims and appeals.
• Assist with special projects and workflow improvements.

Kenntnisse

Detail-oriented

Organized

Time management

Communication skills

Teamwork

Ausbildung

High school diploma or equivalent

CPC or billing certification

Tools

eClinicalWorks

Jobbeschreibung

Wellspire Medical Group is seeking a Billing Specialist to handle charge entry, claims submission, and revenue cycle support across multiple specialties. The role includes administrative tasks for the Appeals Team, data integrity for patient demographics, and documentation management within the practice management system.

The ideal candidate will have 1–2 years of medical billing experience, familiarity with CPT/ICD-10, and proficiency in EMR systems such as eClinicalWorks.