Billing Specialist at American Family Care Norfolk Janaf

Job DescriptionJob DescriptionBenefits:401(k)401(k) matchingCompetitive salaryHealth insurance **Key Responsibilities: ** - Prepare, review, and submit medical claims (electronic and paper) to insurance companies and third-party payers. - Verify insurance coverage, eligibility, and patient demographics prior to claim submission. - Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim denials. - Identify, research, and resolve claim rejections or denials promptly. - Conduct timely and professional follow-up with insurance companies and patients on unpaid or underpaid claims. - Post payments, adjustments, and reconcile accounts accurately in the practice management system. - Communicate with providers and clinical staff regarding missing or incomplete documentation impacting billing. - Maintain knowledge of current CPT, ICD-10, and HCPCS codes, as well as payer policies and reimbursement guidelines. - Generate aging reports and assist in collections efforts as needed. - Ensure confidentiality and compliance with HIPAA regulations in all billing activities. **Qualifications:**- High school diploma or equivalent required; Associates degree or certification in medical billing/coding preferred. - 13 years of experience in medical billing, collections, or revenue cycle management. - Strong understanding of medical terminology, coding systems, and insurance claim processes. - Excellent attention to detail, problem-solving, and organizational skills. - Effective communication and customer service skills. - Proficiency with electronic health records (EHR) and billing software.