Submit and manage medical insurance claims with accurate ICD-10 coding
Verify benefits and eligibility for all patients
Follow up on unpaid or short-paid claims to ensure maximum reimbursement
Post payments, process deposits, and reconcile accounts daily
Refile and resolve denied or rejected claims promptly
Communicate with insurance companies, facilities, and patients regarding claims and payments
Manage collections, refund requests, hardship, and bankruptcy accounts
Prepare monthly billing, AR, and collection reports
Invoice and track payments for facilities, events, and self-pay accounts
Assist with audits, policy updates, and process improvements
Maintain current knowledge of insurance billing regulations and payer rules
Coordinate with Accounting, HR, and Executive teams to ensure efficient operations
Maintain strict confidentiality and professionalism in all interactions
High school diploma required; associate degree preferred
ICD-10 coding experience required
CADS and CAC certifications preferred
Experience in healthcare billing, business office management, or supervision preferred
Strong written and verbal communication skills; must read, write, and speak English fluently
Proven ability to manage multiple priorities and meet deadlines
Excellent organization and time-management skills
Proficiency with QuickBooks preferred
Motivated, self-sufficient, and detail-oriented
Team-oriented with a strong work ethic and problem-solving ability