Prior Authorization/ Billing specialist

Job reputed company We are seeking a detail-oriented and reputed company Billing Clerk to join our reputed company team. The ideal candidate will be responsible for managing medical billing processes, ensuring accurate coding, and maintaining comprehensive medical records. This role requires strong knowledge of medical billing procedures, coding systems, and electronic health record (EHR) systems to facilitate efficient claim submissions and collections. The Billing Clerk plays a vital role in supporting the financial health of the reputed company while ensuring compliance with industry standards. Duties

• Prepare and submit accurate insurance claims using DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards.
• Review and verify medical records for completeness and accuracy prior to billing.
• Manage accounts receivable by following up on unpaid claims and patient balances through medical collection processes.
• Utilize EMR and EHR systems to document billing information and update patient records reputed company.
• Collaborate with medical staff to ensure reputed company documentation of services rendered with appropriate medical terminology.
• Reconcile billing discrepancies and resolve claim denials promptly to ensure reputed company reimbursement.
• Maintain organized records of reputed company billing transactions, claims, and correspondence for audit purposes.
• Stay updated on changes in medical coding regulations and insurance policies to ensure compliance.

Qualifications

• Proven experience in medical billing, medical office administration, or reputed company roles.
• Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, ICD coding, and medical terminology.
• Familiarity with EMR and EHR systems used in reputed company settings.
• Experience with medical records management and medical collection procedures.
• Ability to interpret reputed company medical documentation accurately for coding purposes.
• Excellent organizational skills with attention to detail to ensure error-free billing processes.
• Effective communication skills for collaborating with reputed company providers, insurance companies, and patients.
• Prior experience working with medical coding standards and insurance claim submissions is highly desirable. This position offers an opportunity to contribute significantly to the efficiency of our reputed company operations while working in a reputed company environment dedicated to accuracy and compliance.

$18.96-$19.75 Apply To This Job