Outpatient Medical Billing jobs in United States
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PrideStaff · 16 hours ago

Outpatient Medical Billing

PrideStaff is a leading national staffing firm, and they are seeking an Outpatient Medical Billing professional to manage the full cycle of patient and insurance billing for outpatient services. The role involves ensuring accurate revenue collection and includes responsibilities such as charge entry, claims management, and patient support.

DeliveryHuman ResourcesSmall and Medium Businesses
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Growth Opportunities

Responsibilities

Charge and Payment Entry: Entering patient charges, medical codes, and payments into the EHR/practice management system
Claims Management: Preparing, reviewing, and submitting clean, accurate insurance claims (Medicare, Medicaid, and commercial) to payers, often on a daily basis
Accounts Receivable (A/R) & Follow-up: Monitoring aging reports, identifying denials or rejections, and conducting follow-up with insurance companies to resolve issues
Appeals: Investigating and drafting appeals for denied claims
Patient Billing & Support: Answering patient inquiries, explaining billing statements, and establishing payment plans
Compliance: Ensuring all billing activities adhere to HIPAA regulations and internal policies
Reconciliation: Reconciling patient accounts, reviewing balances, and handling patient/insurance refunds

Qualification

Medical billing experienceMedical coding ICD-10Medical coding CPTMedical coding HCPCSMedical billing software/EHRMicrosoft ExcelAttention to detailCommunication skillsWork independently

Required

Previous experience in medical billing, preferably in a clinic or outpatient setting
High school diploma or equivalent
Proficiency in medical billing software/EHR
ICD-10, CPT, and HCPCS coding
Strong Microsoft Excel skills
Strong attention to detail
Excellent communication skills
Ability to work independently

Preferred

Some college coursework in business or accounting

Benefits

Health
Dental
Vision
401(k) matching
Paid time off (PTO)

Company

PrideStaff

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PrideStaff is a staffing and recruiting company.

Funding

Current Stage
Late Stage

Leadership Team

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Tammi Taylor Heaton
Co-CEO
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Christina Pugh
Chief Sales Officer (CSO)
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Company data provided by crunchbase