Job Description

Overview

Join our dynamic healthcare team as a Family Practice Medical Billing and Collector Specialist! In this vital role, you will be the driving force behind accurate billing processes and effective collections for family practice clinics. Your expertise will ensure seamless financial operations, support patient satisfaction, and contribute to the overall success of our healthcare services. We are seeking energetic, detail-oriented professional and are passionate about delivering exceptional medical billing and collection services. This position offers an engaging opportunity to utilize your medical coding knowledge and billing skills to make a meaningful impact on patient care and clinic efficiency.

Duties

Manage the entire billing cycle for family practice services, including submission of claims to insurance companies using CPT (Current Procedural Terminology) codes, ICD (International Classification of Diseases) codes (ICD-9 and ICD-10), and DRG (Diagnosis-Related Group) classifications. Review medical records and documentation to ensure accuracy and compliance with coding standards, including ICD coding updates and medical terminology. Process payments, follow up on unpaid claims, and perform collections on overdue accounts through phone calls, letters, or electronic communication. Verify insurance coverage, benefits, and eligibility prior to billing to optimize reimbursement rates. Collaborate with healthcare providers to clarify diagnoses or procedures when necessary for proper coding. Resolve billing discrepancies by investigating claim denials or rejections, appealing when appropriate, and ensuring timely resolution of outstanding balances. Stay current with changes in medical billing regulations, coding updates, and payer policies to ensure compliance and maximize revenue capture. Generate reports on billing activities, collection status, and outstanding accounts for management review. Uphold confidentiality standards by managing sensitive medical records with integrity and adhering to HIPAA regulations.

Experience

Proven experience in medical billing within a family practice or outpatient clinic setting is highly preferred. Strong knowledge of medical coding including CPT codes, ICD-9/ICD-10 codes, DRG classifications, and ICD coding standards. Familiarity with medical terminology, medical records management, and documentation practices essential for accurate billing. Experience working with EMR/EHR systems that support billing functions is required; proficiency in popular platforms is a plus. Demonstrated ability to perform collections effectively while maintaining positive patient relationships. Excellent organizational skills with keen attention to detail to ensure error-free claims processing and follow up. Ability to interpret insurance policies and payer requirements confidently. Strong communication skills for coordinating with providers, insurance companies, patients, and team members. Join us in making a difference through efficient healthcare financial operations! We value energetic professionals who are committed to accuracy, transparency, and excellent service delivery in the vital field of family practice medical billing and collections. PERFERED ECW/TRIZETTO/TRANSACT experience
Job Types: Full-time, Part-time

Pay: $18.00 - $24.00 per hour

Expected hours: 37 - 40 per week

Benefits:

401(k) 401(k) matching Flexible schedule Health insurance Paid time off Vision insurance
Work Location: In person