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Medical Payment Processing Jobs in Virginia (NOW HIRING)

... Payment (Med Pay) claims across numerous jurisdictions, from initial investigation through ... Review and process medical bills, applying fee schedules, coding standards, and costcontainment ...

This position is eligible for Medical, Dental, Vision, and 401(k) Addison Group is partnering with ... Prepare and process electronic payments, ACH transactions, wire transfers, and checks. * Reconcile ...

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AP Specialist

Lorton, VA · On-site

$75K - $85K/yr

This position is eligible for Medical, Dental, Vision, and 401(k) Addison Group is partnering with ... Prepare and process electronic payments, ACH transactions, wire transfers, and checks. * Reconcile ...

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Medical Payment Processing information

What are the key skills and qualifications needed to thrive in Medical Payment Processing, and why are they important?

To thrive in Medical Payment Processing, you need a solid understanding of healthcare billing practices, insurance claims procedures, and medical coding, often supported by a degree or certification in medical billing. Familiarity with billing software such as Epic, Cerner, or Meditech, as well as knowledge of ICD-10 and CPT codes, is typically required. Attention to detail, problem-solving abilities, and strong communication skills help professionals manage complex payment issues and collaborate with patients and providers. These skills ensure accurate processing of payments, reduce claim denials, and support the financial health of healthcare organizations.

What is the difference between Medical Payment Processing vs Medical Billing Specialist?

AspectMedical Payment ProcessingMedical Billing Specialist
CredentialsNone specific, often requires familiarity with insurance and payment systemsCertification often preferred (e.g., Certified Professional Biller)
Work EnvironmentHealthcare facilities, insurance companies, payment processing centersMedical offices, clinics, hospitals
Employer & Industry UsageInsurance companies, healthcare providers, third-party payersHealthcare providers, billing companies
Primary FocusProcessing payments, verifying insurance payments, handling claims paymentsCreating and submitting medical claims, coding, patient billing

Medical Payment Processing focuses on handling payments and verifying insurance reimbursements, while Medical Billing Specialists manage the creation and submission of medical claims and patient billing. Both roles are essential in healthcare finance but differ in their specific responsibilities and work environments.

Is there a demand for medical billers?

Medical billers are in high demand due to the ongoing need for accurate billing and coding in healthcare. The role requires knowledge of medical terminology, coding systems, and often certification, and job growth is expected to be steady as healthcare services expand and evolve.

What is medical payment processing?

Medical payment processing refers to the system and procedures used by healthcare providers to manage, collect, and process payments from patients and insurance companies for medical services rendered. It involves verifying insurance coverage, submitting claims, handling patient billing, and ensuring payments are properly recorded. Efficient medical payment processing helps healthcare organizations maintain cash flow, comply with regulations, and reduce billing errors. Professionals in this field often use specialized software and must stay updated on industry standards and insurance policies.

What are some common challenges faced in medical payment processing, and how can new team members effectively navigate them?

Medical payment processing professionals often encounter challenges such as handling complex insurance claims, ensuring compliance with healthcare regulations, and resolving discrepancies between patient records and payer requirements. New team members can navigate these challenges by familiarizing themselves with industry-standard billing codes (like ICD-10 and CPT), maintaining attention to detail, and proactively communicating with both clinical staff and insurance representatives. Many organizations offer ongoing training and mentorship to help new hires stay updated on evolving policies and streamline workflows, fostering a collaborative environment where questions and knowledge sharing are encouraged.

What is the highest salary for a medical biller?

The highest salaries for medical billers can reach around $60,000 to $70,000 annually, especially for experienced professionals with certifications or specialized skills. Salaries vary based on location, experience, and employer size, with some top earners working in large healthcare organizations or in managerial roles.

Is it hard to get hired as a medical biller?

Getting hired as a medical biller generally requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. Job availability can vary based on location and experience, but entry-level positions are often accessible with proper skills and certifications such as CPC or CPC-A.

What is the highest paying medical billing job?

The highest paying medical billing jobs are often senior roles such as Medical Billing Manager or Billing Director, which require extensive experience, leadership skills, and knowledge of billing software and coding. These positions can earn six-figure salaries, especially in large healthcare organizations or specialized medical fields.
What are popular job titles related to Medical Payment Processing jobs in Virginia? For Medical Payment Processing jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Medical Payment Processing jobs in Virginia look for? The top searched job categories for Medical Payment Processing jobs in Virginia are:
What cities in Virginia are hiring for Medical Payment Processing jobs? Cities in Virginia with the most Medical Payment Processing job openings:

$22 - $25/hr

Full-time

Posted 11 days ago


Job description

Description
Job Title: Medical Billing Specialist
Location: Falls Church Office (travel to the Fairfax office may be required occasionally)
Reports to: Billing Manager
Schedule: 8:00am - 4:30pm (occasional late evenings and weekends might be needed)
FLSA Status: non-exempt
Job Summary:
The Office Visit Charger is responsible for accurately processing charges for patient visits and/or contact lenses, ensuring compliance with billing regulations, and maintaining accurate patient records. This role is crucial in supporting our commitment to providing excellent service to our patients while ensuring efficient operation of the office.
Essential Responsibilities:
  • Charge Processing
    • Verify insurance information and eligibility for each patient visit to ensure proper billing.
    • Submit insurance claims
    • Accurately enter and process charges for all patient visits, including examinations, treatments, contact lenses, and other services provided.
    • Review and maintain accurate patient records, ensuring all charges are documented appropriately.
  • Patient Communication
    • Communicate with patients regarding their charges and payments, answering any questions they may have.
    • Support front desk operations as needed, including scheduling appointments and checking in patients.
  • Miscellaneous
    • Collaborate with the billing team to resolve any discrepancies or issues related to patient charges.
    • Assist in training new staff on the charging process and guidelines.
  • Compliance
    • Stay updated on industry billing practices and coding changes relevant to the eye care field.

Performs other related duties as assigned.
Requirements
Required Skills/Abilities:
  • Knowledge of CPT, ICD-10 codes, and medical terminology preferred.
  • Strong attention to detail and accuracy in data entry.
  • Excellent communication skills, both verbal and written.
  • Patient-centric customer service skills.
  • Proficiency in electronic health record (EHR) systems and medical billing software.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Basic knowledge of insurance policies and payment processes related to eye care services.
  • Excellent organizational skills and attention to detail.
  • Ability to prioritize tasks and to delegate them when appropriate.
  • Ability to function well in a high-paced and at times stressful environment.
  • Proficient with Microsoft Office Suite or related software.

Education and Experience:
  • High school diploma or equivalent; further education in healthcare billing, coding, or a related field is a plus.
  • 2-3 years of billing experience in a medical office is preferred.

Physical Requirements:
  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.