Medical Billing Specialist - Women's Health

Responsibilities: The Medical Billing Specialist manages the timely submission of insurance claims and resolves denied claims to ensure efficient revenue cycle flow. They collaborate with clinical staff and insurance providers to maintain accurate patient billing and perform daily charge reconciliations.

Requirements: Requires a high school diploma and 1-2 years of medical billing experience in a women's clinic or physician practice. Proficiency in CPT code sets, EMR platforms, and claim clearinghouse functionality is essential.

Key skills: Medical Billing, Insurance Claims Submission, CPT Coding, Claim Denials Management, Revenue Cycle Management, Patient Demographics Verification, Prior Authorization, EMR Systems, Charge Capture, Medical Documentation, HCPC Code Sets, Clearinghouse Functionality, Reconciliation, Women's Health Billing, Diagnosis Assignment, Evaluation and Management Codes

Keywords: Medical Billing, Revenue Cycle, CPT Codes, HCPC, EMR, eIVF, Insurance Claims, Prior Authorization, Claim Edits, Clearinghouse, Women's Health, ASC Setting, Lab Billing, Charge Capture, Medical Coding, Patient Accounts