Medical Billing Specialist

MDB Health Services Overview

MDB Health Services provides medical and psychiatric services to residents in long-term care facilities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. As the region’s largest LTC healthcare provider, we are proud to have an exceptional team of physicians, nurse practitioners, and therapists dedicated to delivering high-quality, compassionate care. For more than 13 years, we have built a strong reputation among both clinicians and long-term care communities by going above and beyond to help facilities provide the best possible healthcare to their residents while remaining people-first in everything we do.

Job Summary

This is an in-house medical billing position. The position is located at our company headquarters in Flowood, MS, billing for multiple locations. You will be joining a tight-knit and great billing team! This job will involve billing Part A and Part B.

Primary Responsibilities

Generally, duties include core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, billing records review, and customer service

Daily bill and submit Rural Health Clinic claims for all insurance companies with a goal of

Daily research and resubmit corrections and appeals of front-end claims edits, clearinghouse returns, rejected or denied claims, and no response claims

Daily reconcile EOBs to post payments so that every day ends with a zero-balance

Daily maintain and update billing software information, i.e., patient information, provider information, practice information, fee/charge information, etc.

Routinely meet with the Billing Team Supervisor to discuss and resolve reimbursement issues or billing obstacles

Routinely prepare and send patient statements for service amounts such as co-payments, deductibles and coinsurance

As requested, reply to medical records requests, complete additional information requests, etc.

Perform other duties as assigned

Qualifications

Required Experience:

• 2 years medical claims billing
• High School Diploma or GED Equivalent
  
  

Preferred Experience

• Associates degree or higher
• Certification in one of the following:
• Certified Coding Specialist (CCS)
• Certified Coding Specialist Physician (CCSP)
• Certified Professional Coder (CPC),
• Certified Professional Coder Payer (CPC-P)
• Registered Health Information Administrator (RHIA)
• Certified Outpatient Coder (COC/CPCH)
  
  

Skills And Competencies

Able to:

• Submit both paper and electronic claims as well as client invoice billing
• Abstract clinical information from a variety of medical records, charts, and documents
• Assign appropriate ICD-10 and/or CPT/HCPCS codes to patient records according to established procedures
• Interpret & implement specified insurance billing guidelines
  
  

Has Knowledge Of

• Payor updates as it relates to bundling and unbundling charges, medical necessity, and general coding specifications
• Insurance billing and system guidelines including Medicare, Medicaid, and other payors
• Medical terminology likely to be encountered in medical claims
  
  

Excellence And Experience In

• General computer skills
• Microsoft Word and Excel
• Navigating EMRs or EHRs