Medical Billing Specialist

Job Profile Summary

The Billing Specialist is responsible for the coordination of full-scope for each assigned specialty. In conjunction with Practice Leaders ensures accurate charge capture and management of the reconciliation process. Daily review and working of revenue cycle work queues is essential. Communicates with coding vendor regarding surgical procedures. Trains support staff on appropriate billing procedures. Works with Revenue Cycle and Operation Directors on overall status of outstanding billing for these specialties.

Pay Range:

$23.00 - $27.40 - $31.73

Essential Functions and Responsibilities:

• Effectively uses application of “Current Procedural Terminology” (CPT) coding system; interprets appropriately and
• accurately.
• Ensures clinical staff and providers submit proper and accurate documentation for the services being provided.
• Serves as a liaison/resource for clinical and non-clinical staff regarding revenue cycle processes.
• Responsible for completion of all claims and itemized bills daily, with complete accuracy.
• Responsible for the daily review of appropriate reports from Apex and reporting any discrepancies to the Practice Leader.
• Performs quality control functions on claims and itemized bills to ensure overall accuracy to assure prompt and correct
• payments.
• Responsible for maintaining a strong focus on assigned tasks and at all times being a strong team player.
• Ability to exercise initiative, decision-making, and problem solving.
• Ability to manage multiple tasks in a busy clinical environment.
• Ability to prioritize tasks and manage time efficiently.
• Other duties as assigned

Qualifications:

• Strong interpersonal skills with ability to communicate in a clear and positive manner both verbally and in writing.
• Ability to read, understand, and follow oral and written instruction with attention to detail required.
• Ability to problem solve and monitor / track data, identify trends and create solutions.
• Understanding of insurance payors, prior authorizations and eligibility requirements.
• Knowledge of computer systems and applications, i.e. Microsoft Office, Excel, Word.

Licensure:

• Coding specialist certification preferred.

Education:

• High school diploma or General Education Degree (GED) required.

Experience:

• Minimum 3 years’ experience in medical billing.
• Experience in health care customer service.
• Experience with Epic preferred.
• Experience and current knowledge of ICD10CM, CPT, and HCPCS coding methods. Coding experience a plus.

Raul Secondary

Job Types: Full-time, Contract, Temporary

Pay: $23.00 - $31.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Experience:

• Medical billing: 2 years (Required)
• Epic: 1 year (Required)

Work Location: In person

Salary : $23 - $31