Action Medical Billing Specialist Job Description Template
The Action Medical Billing Specialist will handle the end-to-end billing functions for healthcare facilities, ensuring timely and accurate submissions of medical claims. You'll work closely with healthcare providers, patients, and insurance companies to resolve billing issues and optimize revenue cycles.
Responsibilities
- Prepare and submit accurate medical claims to insurance companies.
- Review and verify patients’ billing information and medical records.
- Follow up with insurance companies and patients on unpaid or rejected claims.
- Work with healthcare providers to ensure coding accuracy and compliance.
- Track payments and manage accounts receivable for timely collections.
- Handle patient inquiries and provide customer service regarding billing issues.
- Maintain records in accordance with legal and ethical guidelines.
Qualifications
- High school diploma or equivalent; additional certification in healthcare billing or coding is a plus.
- Minimum of 2 years experience in medical billing, preferably in a healthcare setting.
- Strong understanding of medical billing codes, ICD-10, CPT, HCPCS, and payer requirements.
- Proficiency with billing software and electronic health record (EHR) systems.
- Excellent communication and problem-solving skills.
- Attention to detail and organizational skills.
- Ability to work independently and manage multiple tasks simultaneously.
Skills
- Medical billing software (e.g., Kareo, AdvancedMD)
- ICD-10 and CPT coding
- Electronic Health Records (EHR)
- Accounts receivable management
- Customer service
- Data entry and management
- Problem-solving
Frequently Asked Questions
An Action Medical Billing Specialist is responsible for managing and handling the billing process in a healthcare setting. They ensure accurate coding of medical services and procedures, prepare invoices, submit claims to insurance companies, and follow up on outstanding bills. They also handle patient inquiries regarding billing, verify insurance coverage, and work to resolve billing inconsistencies or disputes efficiently.
To become an Action Medical Billing Specialist, candidates typically need a high school diploma or equivalent. Many pursue additional training or certification in medical billing and coding, which is often offered by vocational schools, community colleges, or online programs. Key skills include attention to detail, proficiency with billing software, and a strong understanding of medical terminology and coding standards.
The average salary for an Action Medical Billing Specialist can vary based on factors such as location, experience, and education. However, on average, specialists in this field earn a competitive wage. Entry-level positions may fetch a lower salary, while those with additional certifications and increased experience can expect higher earnings.
The qualifications for a job as an Action Medical Billing Specialist typically include a high school diploma or equivalent, with many employers preferring candidates with certification in medical billing and coding. Understanding medical terminology, proficiency in billing software, and strong communication skills are also essential. Some experience, even in a related healthcare role, can be beneficial.
An Action Medical Billing Specialist should possess strong analytical abilities, attention to detail, and competence in medical billing software. Key responsibilities include processing medical claims, ensuring compliance with regulations, coding medical procedures accurately, and handling patient billing inquiries. Effective communication skills are also essential for resolving disputes and managing patient interactions.