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    Medical Billing Specialist - San Antonio, United States - RPC Company

    RPC Company
    RPC Company San Antonio, United States

    3 weeks ago

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    Description

    Job Description

    Job Description

    Contract Medical Billing Specialist-60 day possibility to extend
    M-F 8am-5pm Onsite
    $20/hr-$22/hr

    Identify documents
    Find physician's NPI
    Find out what service was for (investigate why did they draw blood/for what test) to ensure accuracy
    Then send to billing department

    Essentially, this contract employee will have draws the clinic's phlebotomists did and this individual will need to fill in all the blanks that were not filled in to get it billed to correct physician's office.

    A Medical Billing Specialist plays a critical role in the healthcare industry by ensuring accurate and timely processing of medical bills and insurance claims. They are responsible for translating healthcare services into billable codes, submitting claims to insurance companies, and following up on outstanding payments. Attention to detail, knowledge of medical coding systems, and proficiency in billing software are essential for success in this role.

    Responsibilities:

    1. Medical Coding: Convert healthcare services, procedures, diagnoses, and equipment into universally recognized alphanumeric codes (e.g., ICD-10, CPT) for billing purposes.
    2. Claim Submission: Prepare and submit insurance claims electronically or by mail, ensuring all required documentation is complete and accurate.
    3. Insurance Verification: Verify patients' insurance coverage, eligibility, and benefits prior to services being rendered.
    4. Billing Review: Review patient bills for accuracy and completeness, ensuring compliance with insurance and regulatory requirements.
    5. Follow-Up: Monitor outstanding claims and follow up with insurance companies and patients to resolve issues and facilitate payment.
    6. Appeals: Prepare and submit appeals for denied or underpaid claims, providing necessary documentation and supporting evidence.
    7. Documentation: Maintain accurate records of billing and payment activities, ensuring confidentiality and compliance with HIPAA regulations.
    8. Communication: Collaborate with healthcare providers, insurance companies, and patients to resolve billing inquiries and disputes in a professional and timely manner.
    9. Continuing Education: Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies to ensure compliance and efficiency.

    Requirements:

    1. Education: High school diploma or equivalent required. Certification in medical billing and coding preferred.
    2. Experience: Previous experience in medical billing, coding, or healthcare administration preferred.
    3. Knowledge: Proficiency in medical terminology, coding systems (e.g., ICD-10, CPT), and billing software (e.g., Epic, Meditech). Familiarity with insurance claim processing and reimbursement practices.
    4. Skills: Strong attention to detail, analytical skills, and problem-solving abilities. Excellent communication and interpersonal skills. Ability to work independently and collaboratively in a fast-paced environment.
    5. Certification: Certification as a Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) is a plus.
    6. Ethics: Commitment to maintaining patient confidentiality and adhering to ethical standards in billing and healthcare practices.

    This job description serves as a general guideline for the responsibilities and requirements of a Medical Billing Specialist. Actual duties may vary depending on the healthcare setting and organizational needs.

    Company DescriptionRPC Staffing was founded in 2002 as a firm that combines a hands-on approach with industry expertise and national reach.

    We are a Veteran Owned Business; HUB Certified staffing company; a proud member of the Association of the United States Army & American Staffing Association; one of Dallas Business Journal's Top Hispanic Owned Companies; an INC. 5000 America's Fastest-Growing Private Company; a six-time winner of Clearly Rated's Best of Staffing award; and one of Forbes' America's Best Professional Recruiting Firms.

    Company Description

    RPC Staffing was founded in 2002 as a firm that combines a hands-on approach with industry expertise and national reach.\r
    \r
    We are a Veteran Owned Business; HUB Certified staffing company; a proud member of the Association of the United States Army & American Staffing Association; one of Dallas Business Journal's Top Hispanic Owned Companies; an INC. 5000 America's Fastest-Growing Private Company; a six-time winner of Clearly Rated's Best of Staffing award; and one of Forbes' America's Best Professional Recruiting Firms.
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