We seek a meticulous and detail-oriented Medical Billing Specialist to join our team. The successful candidate will review hospital bills to ensure accuracy and compliance, ultimately contributing to our mission of affordable healthcare access for our clients.
- Minimum Qualification :Diploma
- Experience Level :Mid level
- Review and analyze hospital bills for accuracy, completeness, and compliance with established billing guidelines and contracts.
- Verify patient insurance coverage and eligibility.
- Identify and correct billing errors, discrepancies, and omissions.
- Ensure proper coding of medical procedures and diagnoses (ICD-10, CPT).
- Investigate and resolve billing inquiries from patients, hospitals, and insurance providers.
- Communicate effectively with hospitals and healthcare providers to clarify billing issues and obtain necessary documentation.
- Maintain accurate records of reviewed bills, adjustments, and resolutions.
- Stay current on changes in healthcare regulations, coding guidelines, and billing practices.
- Collaborate with internal teams (e.g., operations, finance) to streamline billing processes.
- Prepare and submit regular reports on billing accuracy, error rates, and other relevant metrics.
- Contribute to developing and implementing strategies to improve billing efficiency and accuracy.
Qualifications:
- Diploma or bachelor’s degree in a related field (e.g., Health Information Management, Business Administration, Accounting).
- Proven experience in medical billing, preferably within a hospital environment.
- Strong understanding of medical coding (ICD-10, CPT), billing procedures, and claims processing.
- Knowledge of healthcare regulations and compliance requirements.
- Excellent analytical, problem-solving, and attention to detail skills.
- Ability to interpret and apply complex billing rules and guidelines.
- Strong communication, interpersonal, and organizational skills.
- Proficiency in Microsoft Office Suite (Word, Excel) and medical billing software.
To Apply:
Interested candidates are invited to submit their CVs and cover letters to recruitment@mdgcare.com by 25 February 2025.
Please indicate "Medical Billing Specialist" in the subject line of your email.
