أخصائي فواتير طبية - الولايات المتحدة (للمتحدثين بطلاقة فقط)

We are seeking a detail-oriented and highly motivated Medical Billing Specialist to join our team for an upcoming medical billing project. The ideal candidate will have experience in handling medical billing procedures, coding, insurance claims, and ensuring compliance with all healthcare regulations. You will play a key role in managing patient accounts, processing claims, and ensuring that medical services are accurately billed to insurance providers and patients. Key Responsibilities: Billing and Coding: Accurately assign codes to medical diagnoses, procedures, and services based on patient records and physician notes using ICD-10, CPT, and HCPCS codes. Claims Submission: Submit clean and accurate claims to insurance providers, ensuring compliance with healthcare regulations and payer-specific guidelines. Payment Posting: Post insurance and patient payments to accounts, ensuring that payment details are correct and discrepancies are addressed promptly. Account Follow-up: Monitor and follow up on outstanding claims, handling denials, rejections, and underpayments, ensuring timely resolution of issues. Patient Communication: Provide clear and professional communication with patients regarding their billing inquiries and explain charges or insurance processes when necessary. Compliance: Ensure that all billing practices comply with HIPAA regulations, healthcare industry standards, and insurance requirements. Documentation and Reporting: Maintain accurate and organized records of claims, payments, denials, and adjustments. Prepare reports as needed for management review. Qualifications: Proven experience in medical billing and coding (minimum 2-3 years preferred). In-depth knowledge of ICD-10, CPT, and HCPCS coding systems. Familiarity with payer-specific billing requirements and insurance claim processes. Strong understanding of HIPAA regulations and patient confidentiality. Excellent attention to detail, analytical skills, and problem-solving abilities. Strong communication skills to interact with patients, healthcare providers, and insurance companies. Proficient in using medical billing software (e.g., Epic, Cerner, 3M, etc.) and MS Office Suite. Certification in Medical Billing and Coding (CPC, CBCS, or equivalent) is a plus. Ability to work independently and meet deadlines in a fast-paced environment.
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