Medical Billing & Coding Specialist

Responsibilities

• Submit and follow up on insurance claims, adjustments, reconsiderations, and payment requests.
• Review medical records, operative notes, invoices, and other documentation to ensure accurate claim submission.
• Post patient and insurance payments and maintain accurate account records.
• Respond to insurance and patient billing inquiries, including processing payments by phone.
• Verify insurance information and communicate with providers, patients, and insurance companies regarding claim status.
• Monitor outstanding claims and patient balances, documenting all account activity.
• Perform additional billing and administrative duties as assigned.

Qualifications

• High school diploma or equivalent required.
• 1–3 years of medical billing or related healthcare revenue cycle experience required.
• Working knowledge of CPT, ICD-10, and HCPCS coding and insurance billing processes.
• Proficiency with Microsoft Office and EMR systems.
• Knowledge of medical terminology, anatomy, and physiology preferred.
• Experience in neurosurgery, orthopedics, pain management, or a specialty practice preferred.
• Strong attention to detail, communication, and organizational skills.