Medical Billing Specialist

Job Description

Job Description

Duties and Responsibilities / Essential Functions:

1. Coordinates directly with medical providers to gather all necessary documentation—including progress notes, prescriptions, face-to-face examinations, letters of medical necessity, and Assistive Technology Professional (ATP) evaluations—strictly adhering to specific payer guidelines and timelines.

2. Serves as a primary liaison by maintaining regular, professional contact with non-restricted referral sources, physicians, physical/occupational therapists, ATPs, and clients to pursue missing or incomplete records.

3. Conducts rigorous reviews of incoming medical files to verify policy compliance, accurately identifies and titles each document type, and validates information before final preservation in the electronic medical record.

4. Prioritizes and drives the timely resolution of all "Funding Action Required" items to prevent delays.

Required Education, Experience & Competencies:

• 1-2 years experience in healthcare, Complex Rehab Technology, Medical Billing or Funding preferred.

• Knowledge of medical coding principles, including ICD-10, HCPCS, Modifiers, and NCCI edits.

• Ability to communicate clearly, effectively and professionally via phone, email and/or record keeping.

• Strong analytical skills with a precise attention to detail.

• Ability to meet deadlines independently and collaborate with remote teams.

• Proficient in Microsoft Office (Excel, Outlook, and Word).

• High school diploma or equivalent required.

\nCompany Description

An employment agency serving Franklin, Brentwood, Spring Hill, Columbia, Murfreesboro and Manchester Tennessee and surrounding areas, Express Employment Professionals has job opportunities for general and skilled laborers as well as technical, industrial, and office services positions.

Company Description

An employment agency serving Franklin, Brentwood, Spring Hill, Columbia, Murfreesboro and Manchester Tennessee and surrounding areas, Express Employment Professionals has job opportunities for general and skilled laborers as well as technical, industrial, and office services positions.