Medical Billing Specialist

Summary:
Our practice is seeking an experienced Medical Biller and Coder to work in conjunction with our Billing team. The ideal candidate will have a strong background in medical billing and coding, knowledge of medical billing and coding regulatory requirements as well as best practices, with the necessary skills to improve our current billing procedures and reduce A/R days. The ideal candidate will work on a number of tasks requiring data analysis, in-depth evaluation and exercising judgement with the appropriate scope of practice.

Essential Duties:

• Review charge submission from providers for accuracy and adherence to coding rules.
• Processes billing to patients and third-party insurance companies.
• Posts and reconciles payments: insurance and patient, balances daily batches and reports.
• Researches and responds by telephone and/ or in writing to insurance or patient inquiries regarding billing issues and problems.
• Monitors submitted claims; follow up on unpaid claims; and initiates dialogue with insurance companies. Research and appeals denied claims where necessary.
• Resubmits claims to insurance companies as necessary.
• Maintains patient demographic information.
• Participates in development of organization procedures and update of forms and manuals.
• Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
• Answers questions from patients, clerical staff, and insurance companies.
• Evaluates patient’s financial status and establishes budget payment plans.
• Follow and reports status of delinquent accounts, including review for possible assignment to collections.
• Works in conjunction with the reception to ensure clean billing and that patient information is accurate and complete.
• Serves as a resource for staff and providers for medical billing and coding guidance.

Communicate with provider staff regarding documentation.

• Participates in internal auditing of medical records, coding, and billing.
• Participates in educational activities and attends staff, department, and provider meetings as scheduled.
• Maintains strictest confidentiality; adheres to all HIPPA guidelines/ regulations.
• Performs miscellaneous job-related duties as assigned.

Qualifications and Skills:

• High school diploma or equivalent; Associate’s or Bachelor’s degree in healthcare administration, finance, or accounting preferred.
• Two or more years of relevant experience and/or training in medical billing and/or coding required. Certified Professional Coder preferred.
• Able to multitask, prioritize, and manage time efficiently. Exhibit high level of quality through attention to detail and monitoring of work.
• Self-motivated and self-directed; able to work without direct supervision.
• Excellent verbal and written communication skills.
• Proficient computer skills, Microsoft Office Suite (Word, Excel, PowerPoint); working knowledge of billing software a plus.
• Strong knowledge of administrative and clerical procedures.
• Strong customer service skills and comfortable answering both patient and insurance company questions.
• Possession of strong problem-solving skills and sound judgment. Ability to be proactive and take initiative.
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
• Deal with confidential information and/or issues using discretion and judgment.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Paid time off
• Vision insurance

Experience:

• Medical billing: 2 years (Required)

Work Location: In person

Salary : $18 - $20