What are the responsibilities and job description for the Medical Billing Specialist position at DIGESTIVE DISEASE GROUP?
Large privately owned gastroenterology practice is seeking an experienced and detail-oriented Medical Billing Specialist. The ideal candidate will have a minimum of 2-3 years of insurance/billing experience in a physician practice and/or hospital setting. Duties include but not limited to:
- Prepare and submit clean claims to various insurance companies either electronically or by paper.
- Review claims against medical documentation to ensure clean claims are submitted to the appropriate third party payer
- Complete coinsurance billing to appropriate secondary or tertiary insurances
- Consistently follow up on unpaid claims using monthly aging reports
- Learn and understand Medicare, Managed Care, and Medicaid regulatory billing practices
- Answers questions from patients, clerical staff and insurance companies regarding billing issues.
- Identifies and resolves patient billing complaints.
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Processes payments from insurance companies and individuals.
- Participates in educational activities and attends staff meetings.
- Stay abreast of current medical coding and billing issues, trends and changes in the laws and regulations in order to make recommendations for changes in policies and procedures
- Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.
- Take initiative to understand and apply available resources and appropriate guidance and policies
- Other duties as assigned.
Required Qualifications:
- High School Diploma or GED
- 2-3 years insurance/billing experience in a physician practice and/or hospital setting.
- Must have familiarity with medical terminology
- Proficient in Microsoft Office products; Word, Excel, Outlook, and PowerPoint
- Strong attention to detail, ability to multi-task, prioritize and the strong interpersonal skills.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Hours:
Monday-Thursday 8:00am-4:30pm Friday 8:00am-12:00pm
Experience:
- Insurance verification: 2 years (Preferred)
- Medical billing: 2 years (Required)
Work Location: In person
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Education:
- High school or equivalent (Required)
Experience:
- Medical Billing: 2 years (Required)
License/Certification:
- Certified Professional Coder (Preferred)
Work Location: In person