What are the responsibilities and job description for the Medical Billing Specialist position at Dubuque Podiatry, PC?
Job Summary
We are seeking a detail-oriented, organized, and personable Medical Billing Specialist to join our healthcare team. In this role, you will be responsible for managing the billing process for medical services, including charge entry, obtaining surgery pre-authorizations, ensuring accurate coding, submitting claims in a timely manner, and following up effectively on outstanding accounts. Your expertise will help support efficient revenue cycle management while providing excellent customer service to patients and insurance providers. This position offers an exciting opportunity to contribute to a dynamic healthcare environment and play an important role in supporting exceptional patient care.
Responsibilities
- Prepare and submit accurate medical claims using billing software while ensuring compliance with healthcare regulations and payer requirements.
- Enter and review medical charges and submit claims accurately and in a timely manner.
- Review medical records and documentation to assign appropriate ICD-10 and CPT codes for procedures and diagnoses.
- Manage accounts receivable by following up on unpaid or denied claims and resolving outstanding balances.
- Verify patient insurance coverage, benefits, eligibility, and estimated out-of-pocket costs using insurance knowledge and EMR/EHR systems.
- Maintain accurate and detailed records of billing activities, claims, medical records, and related correspondence.
- Collaborate with healthcare providers to clarify documentation or coding discrepancies and facilitate timely reimbursement.
- Stay current with changes in healthcare billing, coding standards, claims processes, and insurance regulations to ensure compliance.
- Collect copays, deductibles, and outstanding patient balances.
- Communicate professionally and confidently during difficult or sensitive financial conversations with patients.
- Establish and manage patient payment plans as needed to facilitate timely payment of outstanding balances.
Requirements
- Proven experience in medical billing, coding, and healthcare claims management, including knowledge of ICD-10 and CPT coding.
- Strong knowledge of medical terminology, medical records, and health insurance processes.
- Proficiency with medical billing software, EMR/EHR systems, and Microsoft Office applications.
- Prior authorization and insurance verification experience preferred.
- Excellent customer service skills with the ability to communicate effectively with patients, insurance companies, and healthcare providers.
- Strong attention to detail and organizational skills with the ability to manage multiple claims and priorities simultaneously.
- Prior experience in a medical office environment preferred.
Join Our Team
Join our team and play an important role in supporting exceptional patient care.
Pay: $18.00 - $21.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- 401(k) matching
- Paid time off
Work Location: In person
Salary : $18 - $21