What are the responsibilities and job description for the Medical Billing Specialist II position at Myrtue Medical Center?
SCHEDULE: Full-time; 40 hours per week; 8:00 am - 4:30 pm; Hybrid/remote work available
The Medical Billing Specialist II is responsible for all insurance claims processing, from submission to payment according to contract. He/she is involved in the billing process and is required to perform all general office functions. He/she specializes in complex account resolution and achieving facility financial goals. He/she must reflect a positive, well-mannered attitude in all contacts. The Medical Billing Specialist II adheres to the mission, vision and values of Myrtue Medical Center in all aspects of job performance.
Minimum of two years medical billing experience or Associates degree in business of related field required. Certain certifications may be required.
Files all claims in a timely manner to all carriers, making sure they are accurate in every detail. Keeps abreast of all changes in insurance, Medicare, title XIX, MCO and PPO rules and regulations. Investigates denied claims. Researches and resubmits unpaid/under paid claims according to department standards. Provides timely feedback to management of identified claims issues, repetitive errors and payer trends to expedite claims adjudication. Trains Medical Billing Specialist I on billing processes, procedures, payer policies and account resolution. Works with Medical Billing Specialist I to resolve high dollar and aged accounts and maintain Myrtue Medical Center Accounts Receivable standards. Distributes payments to accounts on date received and reviews account balances for further action. Handles billing questions from insurance carriers and Myrtue Medical Center Patient Financial Advocates. Note: This is a partial listing of key job areas. Contact HR for a complete job description.