Medical Billing Specialist

We are currently seeking a medical biller for our York office. The chosen candidate will be responsible for various tasks including managing the check-out process for all patients in the practice, handling billing, and overseeing accounts receivable management and follow-up for all patient medical services.

Duties and Responsibilities:

• Ensure accurate coding of relevant diagnoses, procedures, and modifiers directly from the medical record.
• Review and resolve coding-related edits and errors affecting claim submission.
• Timely submission of charges or data entry for coded services.
• Apply principles of commercial insurance reimbursement to ensure proper claim submission.
• Identify coding and billing errors, address denials, and resubmit claims as necessary.
• Make informed decisions on bundled services, inclusions, exclusions, and code sequencing.
• Verify and accurately enter patient insurance information for timely claims processing and reduced denials.
• Collaborate effectively with physicians and staff to ensure accurate billing and coding.
• Assist in educating providers on billing issues identified through ongoing reviews of submitted claims, supporting the Billing Manager.
• Maintain confidentiality and security of patient data and medical records in compliance with HIPAA guidelines.
• Demonstrate a customer service-oriented approach, representing the company professionally and handling patient issues with sensitivity and confidentiality.
• Maintain a comprehensive knowledge of coding and documentation requirements outlined by CPT, ICD-10, and CMS for all physician services performed.
• Possess a thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to effectively apply CPT and ICD-10 codes.
• Prior experience in medical billing is preferred.
• Perform any other duties and tasks assigned by the management team.