Job Description

The Wound Care Billing Specialist is responsible for handling all aspects of billing and reimbursement related to wound care services provided by Mobile Wound Healing LLC. This includes reviewing medical documentation, coding procedures, submitting claims, and following up with insurance companies to ensure timely and accurate payment. The Wound Care Billing Specialist works closely with healthcare providers and the billing team to ensure compliance with coding and billing guidelines. About the Company: Mobile Wound Healing LLC is a leading provider of mobile wound care services in Dublin, Ohio. Our team of healthcare professionals is dedicated to providing high-quality, compassionate wound care to patients in the comfort of their own homes. We are committed to excellence in patient care and strive to make a positive impact on the lives of our patients and their families. Work Location: In person (Dublin, Ohio) Responsibilities:

• Review medical documentation and assign appropriate codes for wound care procedures
• Submit claims to insurance companies for reimbursement
• Follow up on unpaid or denied claims and resubmit as necessary
• Communicate with quality assurance specialist and billing team to resolve billing issues
• Maintain accurate and up-to-date knowledge of coding and billing guidelines
• Research, write, and submit appeals as appropriate
• Respond to all patient inquiries timely
• Remain up to date on payer medical policy notices and changes
• Ability to identify and report any trends causing future potential denials
• Ensure payment accuracy
• Must be able to interpret payer explanation of benefits (EOBs)
• Assist with monthly insurance verification checks

• Associates degree or equivalent
• Previous experience in medical billing, preferably in wound care
• Proficient in medical coding systems (CPT, ICD-10, HCPCS)
• Knowledge of insurance claim submission and payment processes
• Attention to detail and accuracy in coding and billing
• Strong communication and interpersonal skills
• Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all Commercial managed-care plans

• Competitive compensation package
• Medical, dental, and vision insurance
• 401(k) retirement plan
• Paid time off and holidays
• Career development opportunities

• Monday to Friday
• Full-time

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