HIM Coder at Scarborough Health Network responsible for coding and abstracting patient records. Reporting to the Manager of Coding and Data Quality and engaging in education on safety practices.
About the role
- Medical Billing Specialist managing medical billing and claims for healthcare services. Ensuring accuracy and timely processing within a remote work environment.
Responsibilities
- Prepare and submit accurate medical claims to insurance companies
- Review and verify patient information, coding, and documentation
- Monitor claim status and follow up on unpaid or denied claims
- Identify and resolve billing discrepancies and rejections
- Post payments and reconcile accounts
- Verify insurance eligibility and benefits
- Communicate with insurance providers regarding claims and appeals
- Track outstanding balances and ensure timely collections
- Follow up on aging reports and unpaid claims
- Maintain accurate financial records and billing documentation
- Generate and send patient statements
- Respond to billing inquiries in a professional and timely manner
- Assist patients in understanding charges and payment options
- Maintain up-to-date patient and billing records
- Prepare regular billing and revenue reports
- Ensure compliance with healthcare regulations and company policies
- Accurately track time and workload as required
Requirements
- Strong knowledge of medical billing procedures and terminology
- Excellent attention to detail and accuracy
- Ability to manage multiple clients and deadlines
- Professional communication and problem-solving abilities
- Ability to work independently in a remote environment
- Preferred
- Bilingual (English/Spanish)
- Experience working with multiple providers or practices
- Qualifications
- Associate’s or Bachelor’s degree in Healthcare Administration, Medical Billing, or related field (or equivalent experience)
- Minimum 2–4+ years of medical billing experience
- Experience with insurance claims, denial management, and revenue cycle processes
- Experience supporting Indigenous organizations, Indigenous-led businesses, or community-based clients is a strong asset
- Technical Skills
- Medical billing software (e.g., Kareo, AdvancedMD, or similar)
- EHR/EMR systems (experience with systems like JaneApp is a plus)
- Microsoft Office and/or Google Workspace
- Familiarity with clearinghouses and insurance portals
- Work Requirements
- Reliable high-speed internet, computer, and phone
- Ability to maintain HIPAA compliance and data security standards
- Available during business hours PST or EST Monday-Friday, unless otherwise agreed in writing with each client
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