Medical Billing Specialist

Job Description We are offering a unique opportunity for a Medical Billing Specialist in the Healthcare/NHS industry. This position is based in Fresno, California, and offers a contract to permanent employment opportunity. The role involves handling insurance billing, managing accounts receivable, and interpreting Explanation of Benefits (EOBs) among other duties. Responsibilities Handle all aspects of insurance billing including understanding and interpreting Explanation of Benefits (EOBs) Utilize experience in CPT/NDC/HSPCS and ICD-10 coding across various specialties Manage accounts receivable which includes drafting appeals, investigating outstanding claims, and handling zero EOBs Adhere to the billing requirements of private pay, Medicare/Medicaid, and Medi-Cal insurance Navigate through ICD-10 (LCD Edits) and manage CCI edits Verify benefits with insurance providers and interpret EOBs Utilize various software systems including Allscripts, Cerner Technologies, Dynamic Data Exchange (DDE), EHR SYSTEM, and Epaces Handle claim administration and both billing and benefit functions Process customer credit applications accurately and efficiently Maintain accurate customer credit records Qualifications Proficiency in healthcare billing software such as Allscripts, Cerner Technologies, and EHR SYSTEM Familiarity with Dynamic Data Exchange (DDE) and Epaces Experience in managing Accounts Receivable (AR) in a healthcare setting Ability to successfully handle appeals and benefit functions related to medical billing Expertise in billing functions and claim administration within the healthcare industry Demonstrable understanding of the medical billing process within the NHS Excellent attention to detail and accuracy in data entry Strong communication and interpersonal skills for effective patient interaction Ability to work independently and make decisions under minimal supervision Proficient in Microsoft Office Suite, particularly Excel and Word Strong organizational and multitasking skills High level of integrity and respect for patient confidentiality Knowledge of medical terminology and coding #J-18808-Ljbffr 6AM City