MEDICAL CODING AND BILLING SPECIALIST

Job Description

Accurately process and submit medical claims using proper coding Review and verify patient information, insurance eligibility, and coverage. Submit and track claims to insurance companies and third-party payers. Follow up on unpaid or denied claims, resolving billing issues and discrepancies promptly. Work closely with the coding department to ensure accurate and compliant claims submissions. Assist patients by explaining billing processes, payment options, and account balances. Process patient payments and insurance payments and apply them to the appropriate accounts. Handle appeals and re-submissions for denied or underpaid claims. Maintain accurate records of billing transactions, payment postings, and account adjustments. Generate and analyze reports on billing, collections, and accounts receivable to ensure revenue optimization. Collaborate with providers, insurance representatives, and billing staff to streamline the billing process and resolve issues. Stay up-to-date with changes in insurance policies, coding requirements, and healthcare regulations.