Billing Specialist - Cardiology - Hattiesburg

Essential Functions

• SUBMIT AND PROCESS CLAIMS ACCURATELY AND EFFICIENTLY, ENSURING COMPLIANCE WITH PAYER REQUIREMENTS AND COMPANY POLICIES.
• COMMUNICATES WITH INSURANCE COMPANIES, PATIENTS, AND OTHER STAKEHOLDERS TO RESOLVE BILLING INQUIRIES AND MAINTAIN ACCOUNT STATUS.
• REVIEWS AND RECONCILES CREDIT BALANCES, RECLASSIFIES REVENUE, AND PROCESSES ADJUSTMENTS PER TRANSACTION CODING GUIDELINES.
• MONITORS AND RESOLVES CLAIM DENIALS AND REJECTIONS, IDENTIFYING TRENDS AND IMPLEMENTING CORRECTIVE ACTIONS.
• REVIEWS AND CORRECTS CLAIM FILING EDITS BASED ON PAYER REQUIREMENTS AND ELECTRONIC HEALTH RECORD (EHR) SYSTEM ALERTS.
• Maintains ACCURATE DOCUMENTATION OF ALL BILLING ACTIONS IN THE PRACTICE MANAGEMENT SYSTEM.
• COLLABORATES WITH MANAGEMENT, CLINIC STAFF, AND CODING TEAMS TO ENSURE PROPER BILLING AND COLLECTION PROCEDURES.
• ASSISTS PATIENTS AND INSURANCE REPRESENTATIVES WITH BILLING-RELATED QUESTIONS WHILE MAINTAINING PROFESSIONALISM.
• ENSURES COMPLIANCE WITH HIPAA REGULATIONS AND MAINTAINS CONFIDENTIALITY OF PATIENT FINANCIAL AND MEDICAL INFORMATION.
• PERFORMS OTHER DUTIES AS ASSIGNED.
• Maintains REGULAR AND RELIABLE ATTENDANCE.
• Complies with all POLICIES AND STANDARDS.

Qualifications

• 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required.
• Knowledge of medical billing processes, insurance claim procedures, and payer policies.
• Strong understanding of healthcare revenue cycle operations and reimbursement methodologies.
• Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
• Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action.
• Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally.
• Strong analytical and problem-solving abilities to research and resolve billing issues.
• Attention to detail and ability to manage multiple tasks while meeting deadlines.
• Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality.
• CPB- Certified Medical Biller issued by AAPC preferred or Certified Medical Insurance Specialist (CMIS) issued by PMI preferred.