Medical Billing Specialist (Advanced MD Experience)

This is a remote position.

Job Description: Medical Billing Specialist (Advanced MD Experience)

Responsibilities:

• Process and submit medical claims to insurance companies, ensuring they are accurate and timely.
  
• Verify patients' insurance coverage and obtain authorizations when necessary.
  
• Review patient bills for accuracy, completeness, and resolve any discrepancies.
  
• Follow up on unpaid claims within standard billing cycle timeframes.
  
• Ensure insurance payments are accurate and comply with contract discount agreements.
  
• Resolve billing issues and respond to inquiries from patients and insurance companies.
  
• Prepare, review, and transmit claims using billing software.
  
• Maintain up-to-date knowledge of billing regulations and policies.
  
• Keep records of patient billing information and payment statuses.
  
• Collaborate with healthcare providers to ensure accurate and timely billing.
  
• Ensure compliance with healthcare laws, including HMO/PPO, Medicare, Medicaid, and other payer systems.
  

Requirements

• Proven experience as a Medical Billing Specialist.
  
• Advanced knowledge of MD software and experience with AMD billing software.
  
• Knowledge of insurance policies, including HMO/PPO, Medicare, Medicaid, and other payer systems.
  
• Familiarity with medical terminology and healthcare billing practices.
  
• Proficiency in medical billing software and systems.
  
• Strong attention to detail and commitment to accuracy.
  
• Excellent communication, problem-solving, and customer service skills.
  
• High school diploma or equivalent; certification in medical billing or a related field is a plus.
  

Highly Regarded Skills and Experience:

• Experience with telehealth and remote healthcare services.
  
• Advanced certification in medical billing and coding.
  
• Ability to handle complex billing issues and discrepancies.
  
• Strong analytical skills and the ability to interpret and manage billing data.
  
• Ability to work independently and manage multiple tasks efficiently.
  

Benefits