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Responsibilities:
- Review and analyze medical records to ensure accurate and timely billing
- Assign appropriate DRG codes based on the diagnosis and procedures documented in the medical records
- Ensure compliance with ICD-9 and ICD-10 coding guidelines
- Verify patient insurance coverage and obtain necessary authorizations for billing
- Prepare and submit claims to insurance companies or government agencies
- Follow up on unpaid claims and resolve any billing discrepancies or denials
- Collaborate with healthcare providers to obtain missing documentation or clarification on coding issues
- Maintain confidentiality of patient information and adhere to HIPAA regulations
Requirements:
- Proven experience as a Billing Specialist or similar role in the healthcare industry
- In-depth knowledge of medical billing, coding, and reimbursement processes
- Proficiency in using DRG, ICD-9, and ICD-10 coding systems
- Familiarity with insurance guidelines and claim submission requirements
- Strong attention to detail and accuracy in coding and billing practices
- Excellent communication skills, both written and verbal
- Ability to work independently and meet deadlines in a fast-paced environment
- High level of professionalism and ethical conduct
Note: Certification in medical billing and coding is preferred but not required.
Job Type: Full-time
Pay: $15.00 - $16.00 per hour
Benefits:
Schedule:
Experience:
Work Location: In person
Full Time
$34k-42k (estimate)
07/21/2023
09/04/2024
The job skills required for Insurance Billing Specialist include Billing, Medical Billing, HIPAA, Attention to Detail, Health Insurance, Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Billing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Billing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Insurance Billing Specialist positions, which can be used as a reference in future career path planning. As an Insurance Billing Specialist, it can be promoted into senior positions as a Medical Billing Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance Billing Specialist. You can explore the career advancement for an Insurance Billing Specialist below and select your interested title to get hiring information.