MEDICAL CODING AND BILLING SPECIALIST
Easy apply
New
Job summary
The Medical Billing Specialist is responsible for managing the entire billing process, ensuring accurate submission of claims and maximizing reimbursements from insurance companies and patients. This role involves verifying patient information, coding medical procedures, submitting claims, and resolving billing discrepancies.
Min Qualification:
Bachelors
Experience Level:
Mid level
Experience Length:
2 years
Language Requirement:
English
Working Hours:
Full Time - Afternoon Shift
Applicant Location:
Nairobi, Kenya
Job descriptions & requirements
Bachelor’s degree in Healthcare Administration
Health Information Management
Accounting
or a related field required.
Knowledge of ICD-10
CPT
and HCPCS coding systems
as well as healthcare reimbursement practices.
Strong understanding of insurance claims processing and healthcare regulations.
Excellent communication
organizational
and problem-solving skills.
Ability to work independently with attention to detail in a high-volume setting.
Proficiency in Microsoft Office Suite (Word
Excel
Outlook)
Bachelor’s degree in Healthcare Administration
Health Information Management
or a related field required.
A minimum of 2-3 years of experience in medical billing
coding
or healthcare revenue cycle management.
Job Description
- Accurately process and submit medical claims using proper coding
- Review and verify patient information, insurance eligibility, and coverage.
- Submit and track claims to insurance companies and third-party payers.
- Follow up on unpaid or denied claims, resolving billing issues and discrepancies promptly.
- Work closely with the coding department to ensure accurate and compliant claims submissions.
- Assist patients by explaining billing processes, payment options, and account balances.
- Process patient payments and insurance payments and apply them to the appropriate accounts.
- Handle appeals and re-submissions for denied or underpaid claims.
- Maintain accurate records of billing transactions, payment postings, and account adjustments.
- Generate and analyze reports on billing, collections, and accounts receivable to ensure revenue optimization.
- Collaborate with providers, insurance representatives, and billing staff to streamline the billing process and resolve issues.
- Stay up-to-date with changes in insurance policies, coding requirements, and healthcare regulations.
Important safety tips
- Do not make any payment without confirming with the BrighterMonday Customer Support Team.
- If you think this advert is not genuine, please report it via the Report Job link below.