What are the responsibilities and job description for the Medical Billing Specialist position at Frederick Pediatric Associates?
Position Responsibilities:
- Submit and manage medical claims to commercial and government insurance plans.
- Review and resolve claim denials, rejections, and billing discrepancies.
-Follow up on outstanding claims and unpaid insurance balances.
-Research insurance payment issues and identify opportunities for reimbursement.
-Post payments and adjustments accurately.
-Verify insurance eligibility and benefits as needed.
-Communicate with insurance companies, patients, and internal departments regarding billing concerns.
-Maintain accurate billing records and follow HIPAA privacy guidelines.
-Work accounts receivable (A/R) to ensure timely and accurate reimbursement.
-Identify billing trends and assist with resolving recurring claim issues.
Qualifications:
- Previous medical billing experience preferred.
-Pediatric medical billing experience is a plus!
-Knowledge of insurance guidelines, claim submission, denial management and A/R follow-up.
-Familiarity with CPT, ICD 10, and HCPCS coding
-Strong communication, organizational, and problem-solving skills.
-Ability to multitask, meet deadlines, and work independently as well as part of a team.
-Attention to detail and commitment to accuracy and confidential
Job Type: Full-time
Pay: $17.00 - $19.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $17 - $19