Qualifications and Skills

• Bachelor's degree in Commerce or related field (Bcom preferred)
• Proven experience as a Medical Billing Specialist or similar role
• Knowledge of medical billing codes and terminology (ICD-10, CPT, HCPCS)
• Familiarity with billing software and electronic medical record systems
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Ability to work in a fast-paced environment and meet deadlines
• Good problem-solving and analytical skills
• Ability to maintain confidentiality and adhere to ethical standards
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)

Roles and Responsibilities

• Review and verify medical billing codes for completeness and accuracy
• Prepare and submit claims to insurance companies electronically or by mail
• Follow up on outstanding claims and resolve any billing issues or discrepancies
• Ensure timely payment of claims by monitoring insurance payments and identifying and rectifying any delays or denials
• Maintain updated knowledge of insurance guidelines and billing regulations
• Communicate with healthcare providers, insurance companies, and patients regarding billing and payment issues
• Assist with the billing and collections process, including generating invoices and processing payments
• Handle inquiries and provide support to patients regarding billing inquiries and payment arrangements