What are the responsibilities and job description for the Reimbursement Billing Specialist position at Physician Revenue Management Services?
We are actively looking for a Reimbursement Specialist for our Altoona office. Please see job post if you are interested in applying.
JOB DETAILS
Job Title: Medical Billing Specialist
Company: PHYSICIAN REVENUE MANAGEMENT
This would lead to a Hybrid position after full training period.
Must be within driving distance to local office.
Job Summary and Overview:
The Billing Specialist performs a wide variety of duties to support other team members in their day to day workflow. These tasks are completed according to company standards as well as state and federal guidelines.
Responsibilities and Duties:
* Charge entry of new claims into the billing system while identifying any issues with coding or payer edits as appropriate.
* Verify patients' insurance information utilizing various resources such as websites, telephone IVR's, and provider relation CSR's when applicable.
* Make telephone calls to patients, hospitals, insurance companies, and/or attorneys as needed to research claims or obtain insurance information.
* Contact insurance carriers to inquire about the status of past due accounts.
* Meet or exceed defined productivity standards.
* Document details of activity on each account in the claims processing system
* Process primary and secondary paper claim to insurance carriers.
* Follow up on self-pay accounts. This includes contacting the patient by telephone to inquire about insurance coverage or to establish payment plans.
* Follow up on accounts that have reached collections to ensure they have been fully worked before the account is referred to an external collection agency.
* Work returned mail and bad address accounts as needed.
Qualifications and Skills:
Education: High school diploma or equivalent
Certification from a course in Medical Billing Preferred but not required.
Experience:
* Knowledge of Medicare and Medicaid programs required.
* Prior experience with insurance billing required.
* Prior experience with Medical Billing, ICD-9/ICD-10 Coding, and Medical Terminology preferred but not required.
Knowledge, Skills, Abilities:
* Basic computer knowledge is essential
* Proficient use of Internet Explorer and the ability to navigate various websites
* Working knowledge of Microsoft Outlook and Word
* Time management and the ability to multitask are essential
* Must display sufficient written and oral communication skills
* Must have the ability to work in a fast-paced environment
* Must have the ability to work with minimal supervision
* Customer service oriented
EOE Statement:
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Job Type: Full-time