What are the responsibilities and job description for the Billing Specialist - II position at Hometown Billing, LLC.?
Overview
We are seeking a highly motivated and detail-oriented Billing Specialist - II to join our dynamic healthcare finance team. In this role, you will be responsible for managing complex billing processes, ensuring accurate coding, and facilitating seamless medical claims submissions. Your expertise will help optimize revenue cycle management while maintaining compliance with healthcare regulations. This position offers an exciting opportunity to contribute to a fast-paced environment where your skills directly impact patient care and organizational success.
Duties
- Review and process medical claims using billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems to ensure accuracy and completeness.
- Apply appropriate coding standards including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to facilitate correct reimbursement.
- Verify patient insurance coverage, submit claims to health insurance providers, and follow up on unpaid or denied claims through effective medical collection strategies.
- Maintain detailed records of medical records, billing transactions, and correspondence related to healthcare claims management.
- Collaborate with healthcare providers and insurance companies to resolve billing discrepancies promptly and professionally.
- Stay current with healthcare regulations, insurance policies, and updates in medical coding standards to ensure compliance.
- Provide excellent customer service by addressing patient inquiries regarding billing statements and explaining medical billing procedures clearly.
Experience
- Proven experience in medical billing, coding, or healthcare claims management within a medical office environment.
- Strong knowledge of medical terminology, medical records management, and health insurance protocols.
- Familiarity with billing software, EMR/EHR systems, and Microsoft Office applications for documentation and reporting purposes.
- Experience in SUD and IRTS Claim Submission
- Experience working with DRG, CPT coding, ICD-9/ICD-10 classifications, and healthcare claims processing is highly preferred.
- Excellent organizational skills with the ability to handle multiple tasks efficiently in a fast-paced setting.
- Demonstrated customer service skills with the ability to communicate effectively with patients, providers, and insurance representatives.
Join us as a Billing Specialist - II and become an integral part of a dedicated team committed to delivering exceptional healthcare financial services!
Pay: $22.00 - $25.00 per hour
Benefits:
- Dental insurance
- Employee assistance program
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Do have SUD Experience?
- Do you have IRTS Experience?
Work Location: In person
Salary : $22 - $25