Insurance Billing Specialist

Job Summary
We are seeking a detail-oriented and highly motivated Insurance Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding procedures, and insurance claim management. As an Insurance Billing Specialist, you will be responsible for accurately processing claims, ensuring timely reimbursements, and maintaining precise medical records. Your expertise will contribute to the efficiency of our billing operations and support the financial health of our organization.

Responsibilities

• Review and verify patient information, insurance details, and medical documentation to ensure accuracy before claim submission.
• Utilize coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) to assign appropriate codes for procedures and diagnoses.
• Prepare and submit clean claims electronically or via paper to various insurance carriers in compliance with industry standards.
• Follow up on unpaid or denied claims through effective communication with insurance companies and patients to facilitate collections.
• Maintain comprehensive and organized medical records within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems for audit readiness.
• Stay current with evolving coding guidelines, insurance policies, and healthcare regulations to ensure compliance.
• Collaborate with medical office staff to resolve billing discrepancies and improve overall revenue cycle management.
• Generate reports on billing activities, claim status, and collection efforts for management review.

Experience

• Proven experience in medical billing, coding, or revenue cycle management within a healthcare setting.
• Familiarity with DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards is essential.
• Knowledge of medical terminology, medical records management, and healthcare documentation practices.
• Experience working with EMR/EHR systems and other medical office software platforms.
• Strong understanding of insurance processes including pre-authorizations, claim adjudication, and collections.
• Prior work in a fast-paced medical office environment is preferred; excellent organizational skills are required.
• Certification in Medical Billing or Coding (such as CPC or CCS) is advantageous but not mandatory. Join our team to contribute your expertise in medical billing while supporting efficient healthcare delivery through precise coding and effective claims management!
• You Must Live within 20 miles of Lancaster Ohio. Not Columbus, Zanesville, Athens etc.
• You must have experience in Health Insurance Billing . Not payroll, not office supplies not Life Insurance but Health Insurance.

Pay: $18.00 - $28.43 per hour

Benefits:

• Paid time off

Work Location: In person

Salary : $18 - $28