This is a remote position.
Schedule: During EDT (UTC 4) Mon Fri 8 AM 5 PM Georgia US Time includes 1h unpaid break Monday to Friday 8:00 PM to 5:00 AM Manila Time
Paid working hours per week: 40 hours
Responsibilities:
Medical Billing: Process patient billing including verifying charges entering coding information and ensuring timely submission of insurance claims.
Insurance Claims Management: Submit electronic or paper claims to insurance companies follow up on unpaid claims and resolve any issues related to denied or underpaid claims.
Payment Posting: Post insurance payments patient payments and adjustments into the practice s billing system. Reconcile accounts and ensure accurate financial records.
Coding: Ensure accurate medical coding for diagnoses procedures and treatments in accordance with ICD10 CPT and HCPCS guidelines. Correct any coding errors or discrepancies.
Account Reconciliation: Review patient accounts identify billing discrepancies and follow up with patients or insurance companies as needed to resolve any issues.
Patient Communication: Communicate with patients regarding their balances insurance inquiries and payment options. Answer any billingrelated questions and provide assistance with billing concerns.
Insurance Verification: Verify insurance coverage patient eligibility and benefits prior to appointments or procedures. Provide patients with a breakdown of their financial responsibilities.
Compliance & Documentation: Ensure compliance with HIPAA and other regulatory standards for patient confidentiality and billing practices. Maintain accurate uptodate billing records.
Reports & Analysis: Generate billing reports for management track accounts receivable and assist with financial reporting to ensure the accuracy of revenue collections.
Requirements:
Education & Experience:
- High school diploma or GED required; associate s degree or certification in medical billing/coding preferred.
- Minimum of 1 2 years of experience in medical billing insurance claims processing or a related role.
- Experience with electronic medical records (EMR) and billing software (eClinicalWorks preferred).
- 12 years of Experience in Pediatric Practice
Technical Skills:
- Strong knowledge of medical billing procedures insurance claim submission and payment posting.
- Proficiency in medical coding using ICD10 CPT and HCPCS coding systems.
- Familiarity with insurance verification processes prior authorizations and coverage determinations.
- Ability to analyze and resolve insurance claim denials or discrepancies.
Regulatory Knowledge:
- Understanding of HIPAA regulations and other compliance standards related to medical billing and patient confidentiality.
- Familiarity with payer policies including Medicaid and commercial insurance guidelines.
Communication & Interpersonal Skills:
- Strong verbal and written communication skills for patient and insurance company interactions.
- Ability to explain billing details payment options and insurance policies to patients professionally.
- Customer service skills with a patientcentered approach.
Analytical & Organizational Skills:
- Attention to detail to ensure accurate billing and coding.
- Strong problemsolving abilities to resolve claim discrepancies and denied claims.
- Ability to generate and analyze billing reports for account reconciliation and revenue tracking.
- Time management skills to handle multiple billing tasks efficiently.
Work Environment & Physical Requirements:
- Ability to work in a fastpaced healthcare setting with deadlines and volumebased tasks.
- Comfortable working independently and collaboratively within a billing team.
- Proficiency with computers data entry and billing software applications.
Independent Contractor Perks:
- HMO Coverage for eligible locations
ZR20158JOB
Education & Experience: High school diploma or GED required; associate s degree or certification in medical billing/coding preferred. Minimum of 1 2 years of experience in medical billing, insurance claims processing, or a related role. Experience with electronic medical records (EMR) and billing software (eClinicalWorks preferred). 1-2 years of Experience in Pediatric Practice Technical Skills: Strong knowledge of medical billing procedures, insurance claim submission, and payment posting. Proficiency in medical coding using ICD-10, CPT, and HCPCS coding systems. Familiarity with insurance verification processes, prior authorizations, and coverage determinations. Ability to analyze and resolve insurance claim denials or discrepancies. Regulatory Knowledge: Understanding of HIPAA regulations and other compliance standards related to medical billing and patient confidentiality. Familiarity with payer policies, including Medicaid, and commercial insurance guidelines. Communication & Interpersonal Skills: Strong verbal and written communication skills for patient and insurance company interactions. Ability to explain billing details, payment options, and insurance policies to patients professionally. Customer service skills with a patient-centered approach. Analytical & Organizational Skills: Attention to detail to ensure accurate billing and coding. Strong problem-solving abilities to resolve claim discrepancies and denied claims. Ability to generate and analyze billing reports for account reconciliation and revenue tracking. Time management skills to handle multiple billing tasks efficiently. Work Environment & Physical Requirements: Ability to work in a fast-paced healthcare setting with deadlines and volume-based tasks. Comfortable working independently and collaboratively within a billing team. Proficiency with computers, data entry, and billing software applications.
Education
High school diploma or GED required; associate s degree or certification in medical billing/coding preferred.