Medical Billing Specialist

Medical Billing Specialist Overview

• The Medical Billing Specialist supports efficient revenue cycle operations through accurate charge entry and insurance verification.
• This role involves analyzing operative reports and ensuring timely claim submission for a large surgical practice.
• Collaborate with a dynamic team across multiple affiliated offices in Long Island, Manhattan, and New Jersey.
• Utilize your expertise in ICD-10 and CPT coding to ensure compliance with medical coding guidelines.
• Maintain and update electronic medical records to support accurate billing processes.
• Contribute to a fast-paced environment requiring strong organizational and communication skills.
• Opportunity to enhance your skills in medical billing and coding within a reputable healthcare organization.

Medical Billing Specialist Key Responsibilities & Duties

• Verify insurance coverage and update patient demographics and insurance information in Nextech.
• Send non-participating letters to new patients seen by the practice.
• Accurately enter all charges in a timely manner and analyze operative reports for coding purposes.
• Maintain and update EMR and "Scheduled Not Billed" reports to ensure timely claim submission.
• Complete workers’ compensation and no-fault forms with precision and accuracy.
• Review and run daily charge entry reports to ensure accuracy and completeness.
• Assist with other billing-related tasks as required to support the team.

Medical Billing Specialist Job Requirements

• High School Diploma or GED required; Associate Degree in Medical Billing or related field preferred.
• Minimum of 3 years of medical billing experience with strong ICD-10 and CPT coding knowledge.
• Proficient in reviewing and analyzing operative reports for accurate coding.
• Excellent written and verbal communication skills for effective collaboration.
• Ability to prioritize tasks and manage multiple projects in a fast-paced environment.
• CPC – Certified Professional Coder certification preferred.
• Familiarity with Nextech software and electronic medical records systems.