Medical Billing Specialist (Podiatry & Internal Medicine)

Position Overview:
A growing multi-specialty medical practice specializing in podiatry and internal medicine is seeking an experienced and detail-oriented Medical Billing Specialist to support our revenue cycle operations. The ideal candidate will have strong knowledge of medical billing processes, insurance guidelines, and the ability to ensure accurate and timely reimbursement. Podiatry and internal medicine experience is required. Compensation is commensurate with experience.

Key Responsibilities:
Responsibilities include, but are not limited to:

• Submit accurate and timely insurance claims (electronic and paper)
• Review and resolve claim denials and rejections
• Prepare and submit appeals with appropriate documentation
• Perform claim scrubbing to ensure accuracy prior to submission
• Post insurance and patient payments accurately and reconcile accounts
• Verify patient insurance eligibility and benefits
• Obtain and manage authorizations and pre-certifications as required
• Follow up on outstanding claims and aging reports to ensure timely reimbursement
• Communicate with insurance companies regarding claim status and discrepancies
• Maintain compliance with payer guidelines and regulatory requirements
• Collaborate with providers and office staff to resolve billing discrepancies
• Assist with identifying trends in denials and implementing corrective actions

Qualifications:

• Required: Experience in medical billing, specifically in podiatry and internal medicine
• Strong understanding of CPT, ICD-10, and HCPCS coding (preferred)
• Knowledge of insurance processes, including Medicare, Medicaid, and commercial payers
• Experience with EMR/EHR and billing systems
• eClinicalWorks (eCW) experience is a plus
• Strong attention to detail and organizational skills
• Excellent communication and problem-solving abilities
• Ability to work independently and manage multiple tasks efficiently