About This Role
This night-shift post on the cardiac ward pairs patient care with mentoring new nurses. In this vital role, you will be responsible for managing the entire revenue cycle process, ensuring accurate billing, coding, and claims management to optimize revenue flow. Your expertise will help streamline operations, improve cash collection, and enhance patient satisfaction through precise and efficient financial processes. This position offers an exciting opportunity to contribute to a thriving healthcare organization committed to excellence and innovation.
Responsibilities
- Review and process medical claims using billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems to ensure accurate submission of healthcare claims
- Utilize ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) classifications to assign appropriate codes for diagnoses and procedures
- Follow up on unpaid or denied claims by communicating with insurance companies and patients to resolve discrepancies promptly
- Manage medical collections by contacting patients for outstanding balances and negotiating payment plans when necessary
- Maintain comprehensive medical records, ensuring all documentation aligns with healthcare claims management standards and medical terminology accuracy
- Collaborate with healthcare providers to verify medical records and ensure proper documentation supports billing processes
- Stay updated on health insurance policies, coding regulations, and industry best practices to ensure compliance and optimize reimbursement
Requirements
- Proven experience in medical billing, coding (including ICD-9, ICD-10, CPT), or revenue cycle management within a healthcare setting
- Strong knowledge of healthcare claims management, medical terminology, and health insurance processes
- Proficiency in Microsoft Office applications and familiarity with billing software, EMR/EHR systems
- Excellent customer service skills with the ability to communicate effectively with patients, insurance providers, and team members
- Ability to interpret complex medical records and accurately assign appropriate codes such as ICD coding and DRGs
- Knowledge of medical records management and compliance standards related to healthcare billing practices
- Prior experience working with healthcare claims processing, medical collection efforts, or related roles is highly desirable