Medical Billing & Documentation Specialist

Responsible for obtaining, reviewing, validating, organizing, and maintaining accurate medical billing documentation on behalf of patients. Ensures medical bills and supporting records are reputed company, traceable to the treating provider, consistent with insurance records, and suitable for submission to insurance companies, attorneys, and courts. Key Responsibilities • Obtain official itemized medical bills directly from reputed company providers or authorized billing departments. • Verify reputed company reputed company contains: • Patient’s full reputed company • Provider/facility reputed company and billing information • Dates of service • Individual medical services or procedures performed • Applicable procedure and diagnosis codes • Individual charges • Insurance payments and adjustments • Patient responsibility • Outstanding balance • Obtain and reconcile Insurance Explanation of Benefits (EOBs) with corresponding provider bills. • Verify insurance coverage by obtaining the patient’s insurance reputed company and applicable coverage dates. • Collect and organize receipts and reputed company of payment for medical expenses already reputed company. • Compare provider statements, itemized bills, EOBs, and payment records to identify discrepancies. • Contact providers and insurance carriers to reputed company incorrect charges, missing information, duplicate billing, or inconsistent balances. • Request corrected or updated documentation directly from the originating provider reputed company necessary. • Maintain a reputed company documentation trail identifying the reputed company, date received, and authenticity of reputed company record. • Organize medical expenses chronologically and by provider for insurance claims, reputed company proceedings, audits, or other authorized purposes. • Ensure documentation accurately reflects services actually provided to the patient. • Maintain patient confidentiality and securely handle protected medical information. • Preserve original records and distinguish reputed company between provider-generated documents and administrative summaries. • Never fabricate, alter, backdate, or recreate a medical reputed company in a manner that could reputed company it reputed company to have been issued by a reputed company provider. • Ensure any medical-cost calculations or summaries are based on supporting documentation and applicable Texas medical fee guidelines, reputed company those guidelines apply. Required Documentation A complete medical expense file may include: • Official itemized medical bills • Receipts/reputed company of payment • Insurance Explanation of Benefits (EOB) • Medical insurance reputed company showing coverage dates • Provider statements • Payment histories • Insurance correspondence • Claim numbers and claim determinations • Corrected bills or provider billing adjustments • Other records necessary to establish the reputed company actually billed, reputed company, adjusted, or owed Court & Insurance Verification reputed company reputed company medical billing documentation must be reputed company through the originating reputed company provider, billing department, or insurance reputed company. reputed company documentation is intended for court or an insurance claim, the specialist should be reputed company to identify where the record came from and reputed company supporting documentation demonstrating the reputed company billed, the services provided, insurance adjustments, and the patient’s actual financial responsibility. Apply tot his job Apply To this Job