This is a remote position.
Schedule: Mon - Fri 8 AM- 5 PM Georgia, US Time (8 PM to 5 AM PHT) includes 1h unpaid break.Number of Paid hours per week:40 Hours
Medical Billing:Process patient billing, including verifying charges, entering coding information, and ensuring timely submission of insurance claims.
Insurance Claims Management: Submit electronic or paper claims to insurance companies, follow up on unpaid claims, and resolve any issues related to denied or underpaid claims.
Payment Posting: Post insurance payments, patient payments, and adjustments into the practice’s billing system. Reconcile accounts and ensure accurate financial records.
Coding: Ensure accurate medical coding for diagnoses, procedures, and treatments in accordance with ICD-10, CPT, and HCPCS guidelines. Correct any coding errors or discrepancies.
Account Reconciliation: Review patient accounts, identify billing discrepancies, and follow up with patients or insurance companies as needed to resolve any issues.
Patient Communication: Communicate with patients regarding their balances, insurance inquiries, and payment options. Answer any billing-related questions and provide assistance with billing concerns.
Insurance Verification:Verify insurance coverage, patient eligibility, and benefits prior to appointments or procedures. Provide patients with a breakdown of their financial responsibilities.
Compliance & Documentation: Ensure compliance with HIPAA and other regulatory standards for patient confidentiality and billing practices. Maintain accurate, up-to-date billing records.
Reports & Analysis: Generate billing reports for management, track accounts receivable, and assist with financial reporting to ensure the accuracy of revenue collections.
Education & Experience:
- High school diploma or GED required; associate’s degree or certification in medical billing/coding preferred.
- Minimum of 1–2 years of experience in medical billing, insurance claims processing, or a related role.
- Experience with electronic medical records (EMR) and billing software (eClinicalWorks preferred).
- 1-2 years of Experience in Pediatric Practice
- Strong knowledge of medical billing procedures, insurance claim submission, and payment posting.
- Proficiency in medical coding using ICD-10, CPT, and HCPCS coding systems.
- Familiarity with insurance verification processes, prior authorizations, and coverage determinations.
- Ability to analyze and resolve insurance claim denials or discrepancies.
Regulatory Knowledge:
- Understanding of HIPAA regulations and other compliance standards related to medical billing and patient confidentiality.
- Familiarity with payer policies, including Medicaid, and commercial insurance guidelines.
- Strong verbal and written communication skills for patient and insurance company interactions.
- Ability to explain billing details, payment options, and insurance policies to patients professionally.
- Customer service skills with a patient-centered approach.
Analytical & Organizational Skills:
- Attention to detail to ensure accurate billing and coding.
- Strong problem-solving abilities to resolve claim discrepancies and denied claims.
- Ability to generate and analyze billing reports for account reconciliation and revenue tracking.
- Time management skills to handle multiple billing tasks efficiently.
Work Environment & Physical Requirements:
- Ability to work in a fast-paced healthcare setting with deadlines and volume-based tasks.
- Comfortable working independently and collaboratively within a billing team.
- Proficiency with computers, data entry, and billing software applications.
Independent Contractor Perks:
- HMO Coverage for eligible locations
- Permanent work from home
- Immediate hiring
- Steady freelance job
ZR_20159_JOB
United States
