Medical Billing Specialist

Description

Job Summary: Medradius is seeking an organized and detail-oriented Hospital Billing Specialist to process medical claims and review patient records in the dynamic healthcare environment. Key Highlights: 1. Proven experience in hospital billing or medical claims processing. 2. Knowledge of health insurance plan tables and rules. 3. Compliance with institutional and regulatory standards. **Medradius** is looking for a **Hospital Billing Specialist** to join our team. We seek an organized, detail-oriented professional with experience in medical claims billing, ensuring accurate patient record reviews and proper submission of claims to health insurance plans. If you have experience in hospital billing and wish to work in a dynamic healthcare environment, this opportunity may be right for you. **Responsibilities and Duties** Process **inpatient and outpatient hospital bills**. Review and verify **medical records**, ensuring all performed procedures are properly documented. Verify and apply **health insurance plan and health operator fee schedules**. Review supplies, medications, fees, and procedures performed to compile medical bills. Perform **data entry and posting of bills into the billing system**. Prepare and submit medical bills to health insurance plans within established deadlines. Identify potential inconsistencies in medical records and request corrections from responsible departments. Maintain organization and control of billing-related documents. Comply with institutional and regulatory standards in healthcare. Generate XML files for submission to health operators; **Requirements and Qualifications** **Requirements:** * Completed high school education; * Proven experience in **hospital billing or medical claims billing**; * Familiarity with major health insurance plan tables and rules; * Experience with **hospital billing systems**. * Basic or intermediate proficiency in **Excel**. * Organized, analytical, and detail-oriented profile. **Preferred Qualifications:** * Technical or higher education in related fields; * Hospital billing training course; * Experience in medium- or large-scale hospitals. * Familiarity with the Smart system. **Additional Information** Meal allowance; Transportation voucher; Life insurance. **Medradius and You — Together for Life!** ======================================= At **Medradius**, caring is more than a profession — it’s our purpose. Since 1997, we have delivered excellence in healthcare, and in 2015, we expanded our infrastructure with the inauguration of our hospital, reinforcing our commitment to humanized, safe, and high-quality care. We are driven by innovation, teamwork, and continuous improvement — always placing life at the center of everything we do. **Our Commitment** --------------------- Humanized care Safe and high-quality clinical care Ethics and responsibility Continuous development Valuing people **Join Our Team** ---------------------------- Here, you’ll find a collaborative environment, growth opportunities, and a culture that values constant learning. If you seek purpose, professional growth, and wish to contribute to transforming healthcare experiences, come build this story with us. **Medradius and You — Together for Life!**