Medical Billing Specialist

Job Title: Medical Billing Specialist

In this roll you will:

Be responsible for managing and processing billing for healthcare services. This role involves ensuring that healthcare providers are compensated for their services in a timely and accurate manner while adhering to relevant regulations and policies.

Key Responsibilities:

• Review and analyze patient records to ensure accurate billing information.

• Prepare and submit claims to insurance companies and government payers.

• Follow up on unpaid claims and resolve any discrepancies or issues.

• Communicate with healthcare providers, patients, and insurance representatives regarding billing inquiries.

• Maintain up-to-date knowledge of medical billing codes, regulations, and compliance standards.

• Process payments and adjustments as necessary.

• Generate and maintain reports related to billing and collections.

• Assist in training new staff on billing procedures and software.

  
  

Qualifications:

• High school diploma (required)

• Associate's degree in medical billing or related field (preferred)

• Certification in medical billing and coding (e.g., CPC, CCS) is a plus

• Proficiency in medical billing software and electronic health record (EHR) systems

• Strong understanding of medical terminology, coding, and billing practices

• Excellent communication and interpersonal skills

• Detail-oriented with strong organizational skills

• Ability to work independently and manage multiple tasks effectively

We would love it if you also had:

• Orthopedic specialty experience

• Attention to detail & great communicator

• Experience with ModMed EMR system