Neville Foot And Ankle Center is seeking a Medical Billing Specialist to join our team! As a Medical Billing Specialist , you will be responsible for accurate and timely insurance claims follow-up and account receivable resolution for assigned payers.

Accountable for complex payers, aged claims, and special account receivable projects. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.

Responsibilities

• Processing insurance claims through both private insurance and Medicare
• Process insurance denials and appeals to ensure timely account resolution
• Identify denial trends and determine process changes to prevent future denials
• Work with Medical Coders to address editing coding and payment related issues
• Enter all billing and payment information into the system properly and without errors
• Responsible for lowering AR over 90 days to acceptable standards
• Answer phones, assist clients with questions, take messages, and screen calls
• Handle incoming calls from patients and insurance companies regarding claims and patient balances
• Maintains the highest level of confidentiality.
• Supports and adheres to all policies and procedures.
• Review accounts that have partial or under payments
• Work with supervisors to streamline billing procedures based on denial types
• Post contractual adjustments and transfer deductibles to patient accounts based of correspondence from the insurance carriers
• Daily follow up on all claim reports generated based on rejections, appeals and denials by the insurance carrier
• Uphold confidentiality and security standards by adhering to professional guidelines, company policies, and federal, state, and local requirements

Qualifications

• EClinical works experience a must
• 3 years' experience in healthcare collections setting
• In-depth knowledge of CPT and ICD-10 codes, Medicare and commercial billing rules, insurance reimbursement methods, claims

appeal process, managed care contracts, and payments

• Ability to read explanation of benefits (EOBs) is critical for this position
• Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making
• Ability to work collaboratively with other team members to support data quality and integrity initiatives
• Great organizational skills
• Ability to work on multiple assignments concurrently within established timeframes
• Ability to multi-task, establish and meet deadlines
• Ability to work in fast-paced environment and maintain accuracy
• Strong verbal and written communication skills
• Ability to troubleshoot and recommend root cause solutions to problems
• Above average organizational and time management skills
• Strong Microsoft Office experience with emphasis on Excel (intermediate to advanced)
• Knowledge of Federal, state and HIPAA privacy regulations

Benefits

• Health insurance
• Vision insurance
• Dental insurance
• Life insurance
• Vacation
• Competitive Compensation

Great Work Environment

Career Advancement Opportunities

Last updated : 2024-04-24