Rheumatology Medical Biller Specialist (5+ Years of Experience)

Company : Healthteq Services

Job Description - Rheumatology Medical Biller Specialist (5+ Years of Experience)

Job Summary:
We are seeking an experienced Rheumatology Medical Biller Specialist with over 5 years of experience in medical billing and coding, specifically in rheumatology. The ideal candidate will possess in-depth knowledge of billing procedures, insurance guidelines, and coding for rheumatology-specific services such as infusions, diagnostic imaging, and lab tests. This role requires precision, organization, and a deep understanding of revenue cycle management to ensure accurate billing and prompt reimbursement.
Key Responsibilities:

Specialized Billing & Coding: Accurately process claims for rheumatology services, using ICD-10, CPT, and HCPCS codes for treatments like biologics, infusions, and diagnostic procedures.
Claims Management: Submit, track, and resolve unpaid or denied insurance claims, ensuring adherence to Medicare, Medicaid, and private insurance policies.
Prior Authorizations: Coordinate and secure pre-authorizations for medications and treatments commonly used in rheumatology practices.
Accounts Receivable Management: Monitor and manage patient accounts, post payments, and ensure timely follow-up on outstanding balances.
Insurance Verification: Confirm insurance eligibility and benefits for rheumatology-specific procedures and treatments.
Compliance & Regulations: Ensure compliance with HIPAA regulations and current billing standards, including knowledge of payer-specific guidelines.
Provider Communication: Collaborate with rheumatologists and other healthcare providers to resolve coding and billing discrepancies.
Reporting: Generate reports on billing trends, revenue cycle performance, and areas for optimization.

Qualifications:

Experience: A minimum of 5 years of medical billing and coding experience, with at least 2 years in rheumatology or a related specialty.
Certification: Certified Professional Coder (CPC), Certified Medical Reimbursement Specialist (CMRS), or Certified Coding Specialist (CCS) preferred.
Technical Proficiency: Proficient in EHR/EMR systems, medical billing software (e.g., Kareo, AdvancedMD, or similar), and Microsoft Office Suite.
Knowledge: Advanced understanding of rheumatology-specific billing codes, treatments, and procedures.
Skills: Strong attention to detail, problem-solving abilities, and excellent communication skills.
Location: Must reside in Texas and be available during Central Time business hours.

Original job Rheumatology Medical Biller Specialist (5+ Years of Experience) posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.

Share Job

Get your Resume Reviewed for Free

Similar Medical Biller Specialist Jobs in the US

Get your Resume Reviewed for Free

Email address

Why are you reporting this job?

I think it’s a discriminatory or offensive

I think it’s fraudulent or a scam

I think it’s trying to sell something unrelated to the job / it’s asking for money

I think it contains incorrect or broken information

Other

All Job Ads are subject to GrabJobs’s Terms of Service. We allow users to flag postings that may be in violation of those terms. Job Ads may also be flagged by GrabJobs moderation team. However, no moderation system is perfect, and flagging a posting does not ensure that it will be removed.

Setup your job alert:

Frequency

By activating job alerts, I agree to GrabJobs Terms & Privacy Policy. I can unsubscribe to job alerts anytime. Skip

Rheumatology Medical Biller Specialist (5+ Years of Experience)

Job Description - Rheumatology Medical Biller Specialist (5+ Years of Experience)

Similar Medical Biller Specialist Jobs in the US

Mobile Apps