Medical Biller and Coder

We are a busy practice seeking a dedicated and experienced Medical Billing Specialist to join our team in Baltimore, Maryland. In this role, you will play a critical part in ensuring accurate and timely processing of medical claims for primary care and behavioral health while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.

Requirements:

• Education: HS Diploma/GED preferred.
• Experience: 1 to 3 years of associated experience.

Benefits:

• Health insurance
• Paid time off
• Hybrid Remote Position

Responsibilities:

• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.
• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.
• Review denied or unpaid claims and work on appeals to secure payment.
• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.
• Reviews billing exceptions and executes necessary updates/corrections for clean, compliant submission of paper and electronic claims to third party payers.
• Resolves claim edits.
• Re-queue claims upon resolution of payer rejections.
• Reviews insurance eligibility and verifies patient account information.
• Utilize medical coding knowledge, including ICD-10, to process claims accurately.
• Maintain confidentiality of patient information in compliance with healthcare regulations.
• Handle insurance verifications and follow up on outstanding claims.
• Collaborate with team members to streamline billing processes and improve efficiency.
• Utilize electronic medical record (EMR) systems to manage data entry and documentation.
• Stay updated on changes in medical billing procedures and insurance policies.
• Proficiency in medical billing and coding, including experience with ICD-10 systems.
• Familiarity with medical terminology and insurance verification processes.
• Strong data entry skills with attention to detail and accuracy.
• Experience with electronic medical records (EMR) systems and medical office software.
• Commitment to maintaining confidentiality and compliance with healthcare regulations.