Managed Care Specialist

Description

About MD Billing:

We are MD Billing, a quickly growing medical billing company based out of Lubbock, Texas. Currently, we service facilities and providers in over 14 states, consisting of multiple specialties including Cardiovascular, Wound Care and Family Medicine.  As a company we pride ourselves in being able offer elite coding and billing services to our customers and we are in search of the talent that will help us continue to separate ourselves in the services we offer.

We are looking for an Authorization Specialist who is committed to our principles of accuracy, versatility, knowledge and relationships.  We are looking for those with a passion in their craft and understand that education never stops.  Here at MD Billing we offer competitive pay, full benefits, continuing education and pathways for advancement.  We deeply believe in not only growing our company, but in growing our employees as well.

Come help us continue to raise the bar in medical coding and billing!

JOB DESCRIPTION

The Managed Care Biller will work to ensure patient demographics and insurance are accurate in patient accounts, through insurance verification and eligibility research.  Our team works to maintain accuracy in claim creation and patient account data.

KEY RESPONSIBILITES:

• Knowledge of insurance payers and insurance verification.
• Understanding of payer portals and proper steps to acquire insurance eligibility.
• Understand and utilize EMR software to ensure patient demographics and insurance eligibility is accurate.
• Learn to use and understand all tools in EMR and otherwise.
• Understand payer coordination of benefits.
• Understand and accurately research provider facesheets for outpatient encounters.
• Understand how to research EOBs.
• Work within multiple systems, eClinicalWorks, Waystar, Payer Portals, etc.
• Communicate and update patient information and insurance information for all episodes of care.
• Work closely with Coders to ensure proper claim creation with accurate patient and insurance data.
• All other duties as assigned

Qualifications

REQUIREMENTS:

• Punctual and consistent attendance
• Demonstrates effective communication and problem-solving skills
• Exceptional time management skills
• Good organizational skills with the ability to prioritize tasks
• Basic knowledge of Microsoft Office applications (i.e. Word, Excel, Power Point, Access)
• Knowledge of Health Insurance processes- i.e. referrals/authorizations, EOBs, COB, etc.
• Knowledge of payer portals and proper steps to obtain insurance eligibility.
• Knowledge of Medical Revenue Cycle and Front End Process.
• Knowledge of CPT and ICD 10 codes (preferred)
• Ability to read medical records
• Critical thinking skills
• Customer Service oriented
• Exhibits ethical and professional behavior

QUALIFICATIONS:

• High School Diploma or GED required