Insurance Jobs in Wilmington, DE

Job Summary

We are seeking a dedicated and detail-oriented Insurance Billing Specialist to join our healthcare administration team. This person must be Pro Choice, and Planned Parenthood experience can help tremendously performimg this vital role, you will be responsible for managing the billing process for medical services, ensuring accurate coding, timely submission of claims, and effective follow-up on unpaid accounts. Your expertise will help optimize revenue cycles while maintaining compliance with industry standards. This position offers an exciting opportunity to contribute to a dynamic healthcare environment where precision and efficiency are paramount. Ecworks is also a help in doing and excelling at this position

Duties

• Review and verify medical records, ensuring all documentation aligns with billing requirements and coding standards.
• Assign appropriate diagnosis codes using ICD-9 and ICD-10 systems, along with procedure codes such as CPT (Current Procedural Terminology) codes.
• Calculate DRG (Diagnosis-Related Group) classifications to support hospital billing processes.
• Prepare and submit insurance claims accurately through Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems.
• Follow up on unpaid or denied claims by communicating with insurance companies and patients to resolve discrepancies.
• Maintain detailed records of billing activities, medical coding, and collections to ensure audit readiness.
• Stay updated on changes in medical coding regulations, insurance policies, and industry best practices to ensure ongoing compliance.

Qualifications

• Proven experience in medical billing, coding, or related healthcare administrative roles.
• Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG classifications.
• Familiarity with medical terminology, medical records management, and healthcare documentation standards.
• Experience working with EMR/EHR systems and medical office software platforms.
• Excellent attention to detail, organizational skills, and ability to handle multiple tasks efficiently.
• Effective communication skills for interacting with insurance providers, patients, and team members.
• Knowledge of medical collections processes and best practices for revenue cycle management is preferred.

Join us in delivering exceptional service by ensuring accurate billing processes that support high-quality patient care!

Pay: $24.86 - $29.94 per hour

Work Location: In person