Part Time/PRN Medical Insurance Billing Specialist

Job Description

REQUIREMENTS

• Prior experience in medical office settings or healthcare billing environments is highly preferred.
• Proficiency with EMR/EHR systems and familiarity with medical terminology is essential.
• Strong knowledge of ICD coding (ICD-9 and ICD-10), CPT coding, DRG classifications, and medical records management.
• Demonstrated ability to perform accurate medical coding and billing tasks while adhering to regulatory standards.
• Experience with medical collections processes and insurance claim submission procedures is advantageous.
• Excellent organizational skills with attention to detail; ability to manage multiple tasks efficiently in a fast-paced setting.

RESPONSIBILITIES

• Review and interpret medical records to ensure accurate coding using ICD-9, ICD-10 diagnosis codes, CPT (Current Procedural Terminology) codes, and DRG (Diagnosis-Related Group) classifications.
• Submit insurance claims electronically or manually, adhering to payer-specific guidelines and deadlines.
• Verify patient insurance coverage and eligibility prior to service delivery, updating EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems accordingly.
• Follow up on unpaid or denied claims through effective communication with insurance companies and patients to facilitate medical collections.
• Maintain comprehensive documentation of billing activities, including claim status updates and correspondence related to medical records.
• Stay current with industry standards in medical coding, billing regulations, and payer policies to ensure compliance.
• Collaborate with healthcare providers and administrative staff to resolve billing discrepancies efficiently.

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