Medical Billing Specialist

Job Description

REQUIREMENTS

• Proven experience as a Medical Billing Specialist or in a similar healthcare administrative role.
• A strong understanding of medical terminology, billing codes (ICD-10, CPT, HCPCS), and the full revenue cycle management process.
• Experience with hospice or palliative care billing is highly desirable.
• Proficiency in using medical billing software and the Microsoft Office Suite, particularly Excel.
• Exceptional attention to detail and a commitment to high standards of accuracy.
• Excellent organisational and time-management skills, with the ability to work independently and manage a diverse workload in a remote environment.
• Strong problem-solving skills and the ability to analyse complex billing issues.
• Excellent written and verbal communication skills.
• A compassionate and professional demeanour that aligns with our organisation’s core values.

RESPONSIBILITIES

• Prepare and submit accurate billing claims to various insurance entities, including Medicare, Medicaid, and private insurers, both electronically and via paper submissions.
• Thoroughly review patient billing information for accuracy and completeness, ensuring all necessary documentation is present.
• Proactively follow up on unpaid or outstanding claims within standard billing cycle timeframes to ensure timely payment.
• Analyse, investigate, and resolve claim denials, rejections, and other billing discrepancies.
• Accurately post payments and adjustments to patient accounts and maintain detailed records.
• Serve as a point of contact for patient billing enquiries, handling all communications with professionalism and compassion.
• Maintain a comprehensive and up-to-date knowledge of healthcare billing regulations, compliance standards, and coding practices.
• Collaborate with clinical and administrative staff to ensure documentation supports billed services.
• Uphold strict patient confidentiality and adhere to all data protection regulations.

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