JOB OVERVIEW

We are seeking a detail-oriented and organized Billing Specialist to join our team. The ideal candidate will be responsible for denial management, accounts receivable (AR) oversight, patient eligibility and patient payment coordination. The ideal candidate will have a strong background in medical/behavioral health billing, excellent problem-solving skills, and the ability to work collaboratively across departments to ensure accurate and timely claims processing and payment posting.

SKILLS

• Proficiency in ICD-9, ICD-10, DRG coding, and medical terminology is essential.
• Strong understanding of medical billing processes and healthcare regulations.
• Excellent attention to detail with strong analytical skills for identifying discrepancies.
• Ability to work independently as well as part of a team in a fast-paced environment.
• Effective communication skills for interacting with patients, healthcare providers, and insurance companies.
• Familiarity with medical office procedures and electronic health record (EHR) systems is a plus.
  If you are passionate about healthcare billing and possess the necessary skills to excel in this role, we encourage you to apply for the Billing Specialist position today!
  Job Type: Full-time
  Pay: From $20.00 per hour
  Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Albuquerque, NM 87107 (Required)

Ability to Relocate:

• Albuquerque, NM 87107: Relocate before starting work (Required)

Work Location: In perso

• Process and review medical billing claims to ensure accuracy and compliance with ICD-9, ICD-10, and DRG coding standards.
• Utilize medical terminology to accurately code diagnoses and procedures for billing purposes.
• Verify patient insurance eligibility, benefits, deductibles, copays, and coinsurance prior to services.
• Review, track, and resolve insurance claim denials in a timely manner.
• Maintain and monitor aging reports to reduce outstanding balances.
• Identify trends in denials and collaborate with management to implement process improvements.
• Manage medical collections by following up on outstanding accounts and resolving billing discrepancies.
• Maintain organized medical records and ensure that all documentation is complete and compliant with regulations.
• Collaborate with healthcare providers to obtain necessary information for accurate billing.
• Communicate effectively with patients regarding their bills, payment plans, and insurance coverage.
• Stay updated on changes in medical billing regulations and coding practices to ensure compliance.