Address
Form of work
Salary- Responsibilities:
- Review and process medical bills and claims for accuracy and completeness
- Verify insurance coverage and obtain necessary authorizations for medical procedures
- Utilize medical coding systems such as ICD-9, ICD-10, and DRG to assign appropriate codes to diagnoses and procedures
- Ensure compliance with billing regulations and guidelines
- Communicate with healthcare providers, insurance companies, and patients to resolve billing issues
- Maintain accurate and up-to-date medical records and billing information
- Ability to read and interpret EOBs
- Working A/R, insurance verification
- insurance billing and collections, pre-authorizations
- denials and appeals, posting and collection of payments
- processing ERA payments
- tracking Collections and reimbursement
- communicating with patients and professionally with Personal Injury lawyers.
Credentialing:
- Create and maintain licensing, credentials and insurance records
- Conduct research on updated state and federal regulations and policies
- Release information to requesting agencies and public inquiries when required by law
- Help develop internal credentialing processes
- Monitor license and credential expiration dates and advise staff members of required “renew by” dates
- Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions
- Qualifications:
- Previous experience in Medical Billing or a related field
- Knowledge of medical terminology, coding systems, and billing procedures
- Proficiency in using electronic medical records (EMR) systems (NEXTGEN Healthfusion Preferred)
- Strong attention to detail and accuracy in data entry
- Excellent communication skills, both written and verbal
- Ability to work independently and meet deadlines
- Ability to meet strict deadlines Attention to detail
- Good communication skills
- Knowledgeable in policies, laws and procedures
- Strong computer skills
- Proficiency in database management (if applicable)
- Willingness to work as a team player
- Good organizational skills
Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, qualifications, or working conditions associated with the role.
Job Type: Full-time
Pay: $18.00 - $19.00 per hour
Expected hours: 40 per week
Benefits:
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
- Clinic
- Medical office
- Office
- Private practice
Ability to Relocate:
- Houston, TX 77029: Relocate before starting work (Required)
Work Location: In person
