Medical Billing and Collection Specialist

Job Overview

We are seeking a dynamic and detail-oriented (bilingual) Medical Billing and Collection Specialist (Mental Health Experience is a Plus) to join our healthcare team. In this vital role, you will be responsible for collecting patients financial responsibility and managing the billing aging report process, ensuring accurate coding, timely submission of claims, and effective collection of payments. Your expertise will help optimize revenue cycle operations while maintaining compliance with industry standards.

This position offers an exciting opportunity to contribute directly to patient care by ensuring financial clarity and efficiency.

• Prepare and submit 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 accuracy and completeness for billing purposes.
• Verify patient insurance coverage and eligibility using EMR (Electronic Medical Records) and EHR (Electronic Health Record) systems.
• Follow up on unpaid or denied claims promptly, employing effective collection strategies to recover outstanding balances.
• Maintain detailed records of billing activities, payments received, and collection efforts to ensure transparency and compliance.
• Collaborate with healthcare providers to clarify billing details or resolve discrepancies related to medical coding or documentation.
• Stay updated on industry regulations, coding changes, and payer policies to ensure ongoing compliance and optimal reimbursement.

• Proven experience in medical billing, medical coding, or medical office administration with a solid understanding of medical terminology.
• Knowledge of ICD-9, ICD-10, CPT coding systems, DRG classifications, and medical records management.
• Familiarity with EMR/EHR systems used in healthcare settings for billing and record keeping.
• Strong understanding of insurance verification processes and medical collection procedures.
• Excellent attention to detail with the ability to accurately review complex medical documentation.
• Effective communication skills for interacting with patients, providers, insurance companies, and internal teams.
• Prior experience working with medical coding standards and billing regulations is highly preferred. Join us in making a difference by ensuring smooth financial operations that support quality patient care!

Full-time

From $18.00 per hour

40 per week

• Paid time off

In person