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Medical Billing Coding Specialist Jobs in Puerto Rico

Alivia Health

PR · On-site

$15 - $19.25/hr

Guaynabo PR The Payment Reconciliation Specialist is responsible for performing complete ... Requirements: * Medical Billing Certification or equivalent to 2 years of billing experience.

Alivia Health

PR · On-site

$15.75 - $21.25/hr

FM Medical Vital,MenonitaVital, Triple S (All LOB), Humana, MMM, MCS; among others. * Creation of invoices for secondary medical plans and foundations. * Handling anduse ofbilling programs. * Bill ...

Capitol Bridge, LLC

Senior Billing Specialist (Remote)

PR · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Billing Specialist (Remote) Capitol Bridge is currently seeking a candidate for a full-time ... Health Insurance- medical, dental, vision & pharmacy benefits. (Employer contribution included)

Alivia Health

PR · On-site

$15.25 - $20.50/hr

G uaynabo, Puerto R ico The Collections Specialist is responsible for auditing accounts receivable generated in the medical billing cycle, ensuring the accuracy of the information before final ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Revenue Cycle Management Specialist I Who are we? For more than 26 years, CorePlus has provided ... Proficiency in medical coding systems (e.g., CPT, ICD-10), billing processes, and healthcare ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Revenue Cycle Management Specialist I Who are we? For more than 26 years, CorePlus has provided ... Proficiency in medical coding systems (e.g., CPT, ICD-10), billing processes, and healthcare ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

6 Months Assignment - Revenue Cycle Management Specialist Who are we? For more than 30 years ... Proficiency in medical coding systems (e.g., CPT, ICD-10), billing processes, and healthcare ...

Alivia Health

PR · On-site

Associate's degree in Medical Billing and Coding, Health Services Administration, Medical Office Administration, Medical Records, or related fields in the healthcare sector. ***Equal Opportunity ...

SGF Global

Be Seen First

Accounting Specialist - Accounts Receivable

San Juan, PR · On-site

$17/hr

Process vendor invoices, including applicable tax withholding and proper coding according to the ... Collaborate with Sales, Customer Service, and other departments to resolve billing and payment ...

O'Reilly Auto Parts

Installer Service Specialist

San Juan, PR · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Verify all product/merchandise, including warranty parts and cores, are billed before customers ... Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA) * Team Member ...

O'Reilly Auto Parts

Installer Service Specialist

Carolina, PR · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Verify all product/merchandise, including warranty parts and cores, are billed before customers ... Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA) * Team Member ...

O'Reilly Auto Parts

Installer Service Specialist

Hatillo, PR · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Verify all product/merchandise, including warranty parts and cores, are billed before customers ... Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA) * Team Member ...

O'Reilly Auto Parts

Installer Service Specialist

Yauco, PR

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Verify all product/merchandise, including warranty parts and cores, are billed before customers ... Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA) * Team Member ...

O'Reilly Auto Parts

Installer Service Specialist

Aguada, PR

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Verify all product/merchandise, including warranty parts and cores, are billed before customers ... Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA) * Team Member ...

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All JobsMedical Billing Coding Specialist JobsMedical Billing Coding Specialist Jobs in Puerto Rico

Medical Billing Coding Specialist information

What is a medical billing coding specialist?

Medical Billing Coding Specialists are healthcare professionals who manage patient data related to medical billing and coding. They assign standardized codes to diagnoses and procedures, which are then used for billing insurance companies and keeping accurate medical records. Their work ensures that healthcare providers are reimbursed properly and that patient records comply with regulations. These specialists typically work in hospitals, clinics, or insurance companies and must stay updated with coding standards and healthcare laws.

What are the key skills and qualifications needed to thrive as a medical billing coding specialist, and why are they important?

To thrive as a Medical Billing Coding Specialist, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, typically backed by a certification like CPC or CCS. Familiarity with electronic health record (EHR) systems, medical billing software, and claims processing platforms is essential. Attention to detail, organizational skills, and effective communication are standout soft skills for accuracy and resolving billing issues. These competencies are crucial for ensuring correct claims submission, minimizing errors, and supporting the financial health of healthcare organizations.

What are some common challenges faced by medical billing coding specialists, and how can they be managed?

Medical Billing Coding Specialists often encounter challenges such as keeping up with frequent changes in coding regulations, managing claim denials, and ensuring accuracy under tight deadlines. Staying updated through regular training and professional development can help address regulatory changes. Developing strong attention to detail and effective communication with healthcare providers and insurance companies is crucial for resolving denials and maintaining accuracy. Many specialists also benefit from using advanced billing software and collaborating closely with their team to streamline workflows.

What is the difference between Medical Billing Coding Specialist vs Medical Records Technician?

AspectMedical Billing Coding SpecialistMedical Records Technician
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Registered Health Information Technician (RHIT)
Work EnvironmentHospitals, clinics, physician offices, insurance companiesHospitals, clinics, health information departments
Primary ResponsibilitiesAssigning codes for billing, submitting insurance claimsOrganizing, maintaining, and retrieving patient records

The Medical Billing Coding Specialist focuses on coding patient diagnoses and procedures for billing purposes, while the Medical Records Technician manages and maintains patient health records. Both roles require knowledge of healthcare documentation, but their core functions differ in billing versus record management.

How much can you make as a medical billing coding specialist?

Medical billing coding specialists typically earn a median annual salary of around $45,000 to $55,000, with experienced professionals or those with certifications earning higher. Salaries can vary based on location, experience, and whether they work in hospitals, clinics, or insurance companies. Strong knowledge of coding systems like ICD-10 and CPT can improve earning potential.

What job categories do people searching Medical Billing Coding Specialist jobs in Puerto Rico look for?

The top searched job categories for Medical Billing Coding Specialist jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Medical Billing Coding Specialist jobs?

Cities in Puerto Rico with the most Medical Billing Coding Specialist job openings:

Medical Billing Coding Specialist jobs near you

Medical Billing - Payment Reconciliation, Guaynabo PR

Alivia Health

PR • On-site

$15 - $19.25/hr

Full-time

Re-posted 16 days ago

Job description

Location: Guaynabo PR

The Payment Reconciliation Specialist is responsible for performing complete reconciliation of payments from Health Plans, Foundations, and patients. Their role ensures that all payments received are validated, correctly applied in the billing systems, accurately documented, and reported in a timely manner. This role is critical to the financial integrity of the revenue cycle and to the operational compliance of the department.

Responsibilities:

  • Perform electronic and manual reconciliation of payments for medical plans, foundations, and patient deductibles.
  • Validate that the balances created in the secondary plans and patient lines are correct.
  • Download 835 files, review portals, and process information as requested.
  • Apply payments in the system and correctly document transactions made.
  • Record all reconciled payments in the established systems.
  • Review and document daily deposits sent by accounting.
  • Obtain, scan, and file Explanations of Payment (EOP).
  • Generate reconciliation reports and balance transaction totals.
  • Timely deliver required explanations of payment to the Collections area.
  • Request explanations of payments or additional evidence from medical plans as needed.

Requirements:

  • Medical Billing Certification or equivalent to 2 years of billing experience.

***Equal Opportunity Employer M/F/V/D***