Medical Biller

We are looking for a skilled Medical Billing Specialist to join our team in Dayton, Ohio. In this role, you will be responsible for ensuring accurate and efficient processing of claims related to pathology services. This position is a contract-to-permanent opportunity, providing a chance to grow within the healthcare field while contributing to billing accuracy and compliance.

Responsibilities:

• Process and submit claims for pathology services, adhering to federal, state, and insurance guidelines.

• Assign appropriate medical codes based on pathology reports and patient records to ensure accuracy.

• Review documentation for completeness and compliance prior to submitting claims.

• Investigate and resolve issues related to denied claims, underpayments, and appeals by collaborating with insurance providers.

• Partner with pathologists, laboratory staff, and coding teams to address complex cases and maintain compliant billing practices.

• Track claim statuses, reconcile payments, and follow up on unpaid accounts to ensure timely reimbursement.

• Maintain detailed records of billing transactions and compliance documentation.

• Stay informed about changes in billing regulations, coding standards, and payer requirements.

• Support audit processes and contribute to quality assurance initiatives for pathology billing.

Main Requirements of position:

• Proven experience in medical billing and coding, particularly in pathology services.

• Familiarity with electronic medical records systems and billing software.

• Strong understanding of medical coding standards, including ICD and CPT codes.

• Excellent attention to detail and problem-solving abilities.

• Effective communication skills for interacting with healthcare staff and insurance providers.

• Knowledge of state and federal healthcare billing regulations.

• Certification such as CPC (Certified Coder) or CPB (Certified Biller) is preferred.

• Ability to manage multiple tasks and deadlines efficiently.