This role focuses on managing the medical billing process to ensure accurate coding and prompt reimbursement for healthcare services. The position involves overseeing billing activities, resolving claim denials, and maintaining strict compliance with healthcare regulations. The ideal candidate will have hands-on experience in accounts receivable management within a healthcare setting and possess strong technical expertise in medical coding systems. This is an on-site position requiring availability during evening to early morning hours.
Key Responsibilities:
- Oversee accurate billing and coding using ICD-10, CPT, and HCPCS for medical services.
- Manage outstanding accounts by following up on claims, handling denials, and addressing unpaid balances.
- Resolve denied claims through collaboration with insurance companies to optimize reimbursement.
- Accurately post payments, adjustments, and denials to patient accounts.
- Submit clean claims to insurance providers and monitor their status until resolution.
- Generate and analyze accounts receivable reports to assess financial performance.
- Ensure compliance with healthcare regulations and established billing protocols.
- Lead and mentor junior billing staff to improve team efficiency and performance.
- Address and resolve billing inquiries from patients, healthcare providers, and insurance companies.
Required Qualifications:
- At least 1 year of experience in medical billing, specifically managing accounts receivable in a healthcare environment.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems, along with claims processing procedures.
- Excellent communication skills, with the ability to problem-solve and organize tasks effectively.
- Proficiency in billing software and Microsoft Office applications, especially Excel and Word.
- Availability to work from 6:00 PM to 3:00 AM.
- Ability to work on-site, as this position requires in-person attendance.
No preferred qualifications or additional benefits have been specified for this role.