Medent Medical Biller Reimbursement Specialist Extraordinaire

Experience with Medent, eClinicalWorks, OpenPM, Meditech Expanse Medical Billing Systems preferred but not required.

This is not a remote position although may lead to Hybrid in the future.

Salary based on experience.

We currently have an exciting opportunity available for a full-time Medical Billing Specialist within our Central Billing Office

You will be working with a growing firm. You will not be a disposable employee but part of a fun, dedicated company that enjoys delivering great services to clients. You will be treated with respect and provided the resources to do your job well.

Responsibilities

The Medical Billing Specialist resolves third party outstanding accounts throughout the client base by means of researching claim status, identifying and resolving issues, and processing denials or other correspondence received from various payors.

At least 50% of this position's daily responsibilities involve payment posting functions.

Responsibilities:

• Utilize proprietary software to process rejections, denials and other correspondence received from third party payors in accordance with our procedures and guidelines to resolve issues and re-bill “clean” claims for payment.
• Acquire, interpret and apply payor rules/regulations to ensure claims and appeals are submitted/processed in accordance with proper guidelines.
• Research complex payor issues preventing payment and communicate the details to appropriate internal personnel for resolution.
• Analyze patient account history in order to resolve claim issues.
• Accurately document the system notes screen regarding any actions or updates made to the patient account.
• Investigate outstanding accounts, identify issues/denials preventing resolution and communicate findings to appropriate management personnel.
• Serve as the primary contact for all inbound calls from insurance companies to resolve problems and answer questions.
• Attend meetings within and outside of the department, and present information as needed.
• Process special projects as assigned by the supervisor and other management staff.
• Contact hospitals, employers, and payors for verification, claim status, and to obtain additional information to satisfy processing of the claims for payment.
• Maintain all department standards associated with productivity, quality, and phone statistics.
• Compose appeal letters to third party payors and compile all proper documentation including but not limited to claim forms, payor specific forms, and medical documentation as applicable.
• Utilize all resources and websites as a tool to retrieve pertinent information related to accounts receivable tasks and assignments
• Other duties as assigned

Qualifications:

• Working knowledge of PC applications (MS Office).
• Working knowledge of medical billing/insurance terminology.
• Working knowledge of Medicare, Medicaid, and Blue Shield rules and regulations.
• Handle a large volume of work
• Meet or exceed established standards for productivity and quality
• Flexible, high achiever with ability to learn quickly and meet department goals and deadlines.
• Strong attention to detail.
• Ability to compute percentages and basic math functions.
• Ability to identify and solve moderate to highly complex problems independently.
• Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks. Reliable, team-oriented, pleasant with excellent interpersonal skills.

Education / Experience:

• High School Diploma or GED required.
• Minimum of 2 years recent healthcare billing experience required.

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts!

Job Type: Full-time

Pay: $15.00 - $22.50 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $15 - $23