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Medical Claims and Billing Specialist

Medical Claims and Billing Specialist

Job description

- Review and analyze medical records and documentation to ensure accurate coding and billing
- Assign appropriate medical codes using ICD-10, ICD-9, and other coding systems
- Verify patient insurance coverage and process claims for reimbursement
- Prepare and submit electronic and paper claims to insurance companies
- Follow up on unpaid claims and resolve any billing discrepancies or denials
- Collaborate with healthcare providers to obtain necessary documentation for claim submission
- Maintain patient confidentiality and adhere to HIPAA regulations
- Stay updated on changes in coding guidelines and regulations

- High school diploma or equivalent required; associate's degree in healthcare administration or related field preferred
- Certification in medical billing and coding (e.g., CPC, CCS) highly desirable
- Proven experience as a medical biller or coder in a healthcare setting
- Strong knowledge of medical terminology, anatomy, and physiology
- Proficient in using medical coding software and electronic medical record (athena)
- Familiarity with insurance guidelines, including Medicare, Medicaid, and commercial payers
- Excellent attention to detail and accuracy in coding and billing processes
- Strong analytical and problem-solving skills
- Effective communication skills, both written and verbal

Job Type: Part-time

Salary: $19.48 - $23.46 per hour

Expected hours: 20 – 30 per week


  • Monday to Friday

Work Location: In person or remote

Additional Info

Job Type : Part-time

Education Level : Associate Degree

Experience Level : Entry Level, Mid to Senior Level

Job Function : Finance, Customer Service, General

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