Billing Specialist
hace 5 días
Clearwater
Job Description The Medical Biller/Coder is responsible for accurately coding medical procedures and dianoses, preparing and submitting insurance claims and ensuring timely reimbursement for healthcare services.This role requires strong attention to detail, knowledge of medical terminology, and familiarity with insurance guidelines, coding systems(ICD -10, CPT, HCPCS), and billing processes. Key Responsibilities: . Review and analyze medical records and documentation for accuracy and completeness. . Assign appropriate ICD-10 codes to diagnoses, procedures and treatments. . prepare, submit, and track insurance claims through electronic systems and paper submissions. . Follow up on unpaid or denied claims and appeal when necessary. . Post Insurance payments, and reconcile accounts as required. . Ensure coding is compliant with AAP (American Academy of Pediatrics) guidelines and payer policies. . Assist patients with billing questions and provide excellent customer service. . Ensure coding is compliant with AAP (American Academy of Pediatrics) guidelines and payer policies.