Medical Billing Specialist

Position Overview:

• A growing multi-specialty medical practice specializing in podiatry and internal medicine is seeking an experienced and detail-oriented Medical Billing Specialist to support revenue cycle operations.

• Ideal candidate has strong knowledge of medical billing processes, insurance guidelines, and ability to ensure accurate, timely reimbursement.

• Experience in podiatry and internal medicine required.

• Compensation commensurate with experience.

Work Schedule:

• Monday – Friday, 8:00 AM – 5:00 PM

• 1-hour lunch break

Key Responsibilities:

• Submit accurate and timely insurance claims (electronic and paper).

• Review and resolve claim denials and rejections.

• Prepare and submit appeals with proper documentation.

• Perform claim scrubbing to ensure accuracy before submission.

• Post insurance and patient payments accurately and reconcile accounts.

• Verify patient insurance eligibility and benefits.

• Obtain and manage authorizations and pre-certifications as needed.

• Follow up on outstanding claims and aging reports to ensure timely reimbursement.

• Communicate with insurance companies about claim status and discrepancies.

• Maintain compliance with payer guidelines and regulatory requirements.

• Collaborate with providers and office staff to resolve billing discrepancies.

• Assist in identifying denial trends and implementing corrective actions.

Qualifications:

• Required: Medical billing experience in podiatry and internal medicine.

• Strong understanding of CPT, ICD-10, and HCPCS coding preferred.

• Knowledge of insurance processes including Medicare, Medicaid, and commercial payers.

• Experience with EMR/EHR and billing systems.

• eClinicalWorks (eCW) experience is a plus.

• Strong attention to detail and organizational skills.

• Excellent communication and problem-solving abilities.

• Ability to work independently and manage multiple tasks efficiently.

Compensation & Benefits:

• Competitive salary based on experience.

• Paid Time Off (PTO).

• Comprehensive benefits package (may include health, dental, and vision insurance).

• Opportunities for professional growth and advancement.

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