In-House Billing & Coding Specialist (Full-Time Taunton) at CPS Healthcare Solutions

Taunton, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Sep, 26

Salary

55000.0

Posted On

11 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Medical Coding, Insurance Verification, Claims Management, Revenue Cycle Management, ICD-10, CPT, HCPCS, EMR/EHR, HIPAA Compliance, Payment Posting, Account Reconciliation

Industry

Hospitals and Health Care

Description

Description In-House Billing & Coding Specialist We are seeking an experienced and detail-oriented In-House Billing & Coding Specialist to join our growing healthcare team. The ideal candidate will have strong knowledge of medical billing, coding, insurance verification, claims management, and revenue cycle processes. This position plays a vital role in ensuring accurate reimbursement and maintaining compliance with all payer and regulatory requirements. Responsibilities Primary care billing experience required Review, code, and submit medical claims accurately and timely Verify insurance eligibility and benefits Follow up on denied or unpaid claims and resolve billing issues Ensure proper ICD-10, CPT, and HCPCS coding compliance Post payments and reconcile accounts Communicate with insurance companies regarding claim status and appeals Maintain patient confidentiality and HIPAA compliance Work closely with providers and administrative staff to improve billing accuracy Monitor aging reports and assist with revenue cycle management Schedule: Mon-Fri 8am-4pm Salary: 45,000-55,000 per year Requirements Qualifications Minimum of 3 years of medical billing and coding experience preferred Certification preferred (CPC, CCS, or equivalent) Strong knowledge of ICD-10, CPT, and HCPCS coding Experience with EMR/EHR and medical billing software Knowledge of commercial insurance, Medicare, and Medicaid billing Excellent organizational, communication, and problem-solving skills Ability to work independently and manage multiple priorities We Offer Competitive salary based on experience Health and wellness benefits Paid time off and holidays Supportive and professional work environment Opportunities for growth and advancement To apply, please submit your resume and cover letter detailing your experience and qualifications.

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Responsibilities

The specialist is responsible for accurately coding and submitting medical claims while managing insurance verification and denied claims. They also monitor aging reports and ensure compliance with HIPAA and regulatory requirements to optimize reimbursement.