Medical Billing and Coding Specialist

Key Responsibilities

• Verify patient insurance coverage and benefits prior to services.
• Accurately assign codes for procedures and diagnoses.
• Prepare and submit electronic and paper claims to insurance payers.
• Monitor claim status, follow up on denials, and process appeals.
• Post payments, reconcile accounts, and manage aging reports.
• Communicate with patients regarding billing inquiries and payment plans.
• Generate monthly billing and collection reports for management.

Qualifications

• A high school diploma or equivalent; an associate degree preferred.
• Two or more years of experience in medical billing and coding.
• Demonstrated ability to manage and resolve denials, perform claim corrections, and follow up on appeals.
• Familiarity with electronic health records (EHR) and billing software; strong data entry and documentation skills.
• An attention to detail, strong organizational skills, and the ability to manage multiple priorities in a fast-paced environment.
• Effective written and verbal communication skills and the ability to collaborate with clinical and administrative teams.
• Coding or billing certification (e.g., CPC, CCS, or equivalent) and/or coursework in health information management is highly preferred.