Medical Billing Specialist

As a representative of Veros Clinical Services and Horizon Primary Care, you are expected to maintain a neat and professional appearance, demonstrate commitment to serve at all times, uphold guidelines as set forth in the employee handbook and maintain patient confidentiality at all times.

JOB SUMMARY:

The Billing Specialist representative must demonstrate a sense of pride and passion for ensuring all claims that are billed to payers are accurate and result in timely and proper reimbursement.

ESSENTIAL FUNCTIONS:

· Insurance account balance follow up for ENT, Rheumatology, Neurology and Allergy divisions by Carrier designated by manager

· Uses claims control module for AR follow up

· Contact insurance plans for status of outstanding claims and resubmits/appeals as required

· Submits any medical records requested for claims to process

· Reviews and corrects all claim denials from payment specialist

· Answers incoming billing phone calls

· Other responsibilities as delegated by management

· Pre-bill and claims corrections

· Back up to be done by Guarantor AR specialist

· Other duties as assigned.

MANAGEMENT RESPONSIBILITIES:

There are no supervisory responsibilities with this position.

REQUIRED EDUCATION:

High School Diploma (or GED)

REQUIRED EXPERIENCE:

1. 5 years’ experience working in a medical office performing medical billing processes.

2. 2 years billing experience.

3. Preferably, certified coder background.

4. Experience with Vitera EHR.

5. CPT/HCPCS/ICD-9/ICD-10 proficiency

REQUIRED SKILLS:

1. Professional verbal and written communication skills.

2. Demonstrated knowledge and proficiency in MS Office (Excel, Word, Access).

3. Knowledge of medical billing.

4. Knowledge of Greenway Intergy preferred, but not required.

5. Knowledge of medical terminology.

EQUIPMENT USED:

Standard office equipment, including, but not limited to computer, phone, fax, copier.

PHYSICAL/MENTAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance; stoop, kneel, crouch, or crawl and taste or smell.

· The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

· Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

· The work environment is indoors and is generally quiet.

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k) matching
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person

Salary : $20 - $25