Medical Billing Specialist

As a Medical Billing Specialist, you will be handling billing and coding procedures primarily within an OB/GYN setting.

Responsibilities:

• Accurately code OB/GYN procedures and diagnoses following current industry standards, including CPT and ICD-10.
• Ensure compliance with insurance and payer requirements to avoid claim rejections and appeals.
• Manage claim submissions, rejections, and appeals using the Athena billing system.
• Collaborate with providers to clarify diagnoses and coding for accurate billing.
• Respond to patient inquiries regarding billing, insurance, and payment issues in a professional and clear manner.
• Maintain accurate and organized records of all patient billing information.
• Stay updated with changes in the healthcare industry and payer requirements to improve billing efficiency.
• Utilize your skills in Accounts Receivable (AR), Appeals, Billing Functions, Claim Administration, Medical Billing, Medical Coding, ICD-10, ICD Codes, Billing, and athenahealth to accomplish tasks efficiently.
• Handle all customer account monitoring and take appropriate action when necessary.
• Process customer credit applications accurately and efficiently.
• Must have a solid understanding of Accounts Receivable (AR)
• Proficiency with medical billing functions is required
• Experience in claim administration is necessary
• Must be familiar with medical coding and ICD-10, ICD Codes
• Knowledge of athenahealth software is a plus
• Skilled in handling billing issues and appeals
• Prior experience in the healthcare, hospital, or social assistance industry is preferred
• Ability to maintain patient confidentiality and adhere to ethical standards
• Strong attention to detail and accuracy in data entry
• Excellent communication and interpersonal skills
• Ability to work independently and in a team environment
• Proficiency in Microsoft Office Suite, particularly Excel and Word
• Must have a high school diploma or equivalent; a degree in a related field is a plus
• Relevant certification in medical billing or coding is preferred