Position Title: Medical Billing Specialist
A Growing local physician practice management and billing company is seeking exceptional individuals with a proven track record in medical billing practices. Full time positions are available for persons with at least 1- 2 years’ experience in a variety of functional areas including: charge entry, payment posting, A/R follow-up and patient collections.
Computer skills and H.S. diploma or equivalent required; CPC Certification a plus.
Summary of Duties: Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with medical payors. Coding and Cardiology Experience a Plus.
Essential Functions:
*Prepares and submits clean claims to various insurance companies either electronically or by paper.
*Answers questions from patients, clerical staff and insurance companies.
*Identifies and resolves patient billing complaints.
*Prepares, reviews and sends patient statements
*Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
*Reviews accounts for possible assignment and makes recommendations to the Billing Manager, also prepares information for the collection agency.
*Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
*Processes payments from insurance companies
*Participates in educational activities and attends monthly staff meetings.
*Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Skills and Experience
Education: High School Diploma or GED. CPC Certification a plus.
Desired Skills/Experience:
*Knowledge of medical billing/collection practices.
*Knowledge of computer programs.
*Knowledge of business office procedures.
*Knowledge of basic medical coding and third-party operating procedures and practices.
*Ability to operate a computer and basic office equipment.
*Ability to operate a multi-line telephone system.
*Skill in answering a telephone in a pleasant and helpful manner.
*Ability to read, understand and follow oral and written instructions.
*Ability to establish and maintain effective working relationships with patients, employees and the public.
*Must be well organized and detail-oriented.
Billing Specialist Job Description
Innovative, Environmentally-responsible organization seeks a Billing Specialist to implement processes that enable efficient and timely billing and collections using the appropriate systems. The ideal Billing Specialist will have 5+ years’ experience in billing and is comfortable working with large ERP systems.
This is an opportunity to join a team of dedicated individuals working as one to deliver value to their customers and employees.
Billing Specialist Responsibilities:
• Generate customer billing
• Answer customer and internal billing questions
• Maintain open and closed order files
• Interface with Managers and Technicians to ensure accuracy of work orders
• Verify contract compliance
• Enter and maintain billing matrix and price change updates
• Run daily and monthly reports
Billing Specialist Requirements:
• 5+ years’ experience in Billing
• 1 year experience with a publicly traded company
• Experience working with large ERP systems such AX or SAP
• Proficiency in Microsoft Excel
Coder/Biller Job Description
Coding/Billing Charges
Posting Insurance Payments
Posting ERA's
Daily Balancing
Work A/R
Set up Budget Plans
Patient Collections
Check Benefits
Desired Skills and Experience
Certified Coder or ability to demonstrate knowledge
2+ years of Medical Billing
Strong computer skills
The ability to function well as part of a team as well as work independently
Excellent communication and interpersonal skills
A commitment to maintaining good personal health
Medical Billing Job Description
The Workers’ Compensation Claims Division is continuing the expansion of our Medical Bill Specialist unit. Our successful and rapid business growth over the past year has created the need to fill additional positions, and we are seeking high quality people to help us build a best-in-industry national business operation. Join a great team that will produce exceptional work and meet the highest standards in a positive, supportive work environment. The Medical Bill Specialist processes and reviews medical bills, including ensuring the completeness of the bill and the supporting documentation, prior to review by a Medical Bill Analyst.
ESSENTIAL RESPONSIBILITIES:
*Efficiently review medical bills and reports for accuracy and completeness.
*Identify and enforce jurisdictional regulatory billing standards and company standards.
*Examine bills for legibility and take appropriate action to ensure accuracy of documentation.
*Issue appropriate correspondence to billing entities in accordance with company and regulatory standards.
*Ensure work is performed in accordance with company standards, training, and supervisory direction.
*Provide administrative support and additional duties as directed.
*Foster a positive and close working relationship with other company staff, including the claims staff, medical bill review, nurse case management, special investigations, legal, liens, the call center, and client services.
*Desired Skills and Experience
*Associate’s degree from an accredited college or technical school preferred but not required.
*Able to read and interpret documents such as safety rules, operating and maintenance instructions, procedural manuals, claim notes, and claim data fields.
*Able to write routine reports and correspondence.
*Strong problem solving skills and the ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
*Proficient data entry skills and knowledge of Microsoft Office software.
*Able to quickly master proprietary and vended software applications.
*Effectively manage time and meet deadlines with a sense of urgency.
Billing Claims Specialist Job Description
The Billing Claims Specialist position is responsible for posting, collecting, and managing accounts. They are responsible for submitting a claim, posting payments & adjustments, rebills, Electronic Claims Submission, following up with insurance companies, reconciling accounts, daily balancing controls & reporting, the patient statement process, and preparing monthly reports.
Principal Accountabilities:
*Prepares and submits clean claims to various insurance companies either electronically or by paper.
*Posts payments, adjustments, transfer of responsibility and refunds, as necessary
*Issues adjusted, corrected, and/or rebilled claims to insurance companies.
*Denial and insurance follow-up management
*Insurance Appeal Process
*Handling patient inquiries.
*Answers questions from clerical staff and insurance companies.
*Identifies and resolves patient billing problems.
*Prepares, reviews, and sends patient statements to mailing service.
*Reviews accounts and make recommendations to the Senior Claims Billing Specialist regarding non collectible accounts.
*Performs dialing collection actions including contacting insurance company, contacting site, correcting and resubmitting claims to third party payers.
*Prepares and posts daily deposits received from customer site (P.O. Box) and/or lockbox remittance.
*Processes payments and denials from insurance company either electronically or manually.
*Participates in educational activities.
*Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Job Requirements:
*Knowledge of billing / collection practices preferred
*Strong keyboard skills.
*Works well in environment with firm deadlines; results oriented.
*Perform multiple tasks effectively.
*Able to work both independently and as part of a team.
*Strong analytical skills required.
*Capable of making timely, independent decisions.
*Excellent oral, written, and interpersonal communications skill
Experience:
*Previous medical billing experience along with knowledge of billing related reporting; *3 - 5 years’ experience in health-care billing & collection practices
*Experience working with medical payers such as Medicare, Medicaid, commercial insurance, Meditech
*Working knowledge of medical billing systems (i.e. Medic, IDX, Avatar, Tier, Medical Manager, etc.)
*Experience with Medicaid’s State Eligibility Systems (various states)
*Working knowledge of CPT and ICD-9 coding systems; Coding certification preferred
*BA/BS in business administration preferred
*Excellent organizational skills
*Proficiency in Microsoft Office Suite
Medical Billing Specialist
Job Summary:
Full-time position for energetic and positive candidates to join our Medical Billing team. We are looking for candidates with a proven track record of successful team participation, as well as the ability to work independently with sound judgment and confidentiality. Must be able to prioritize and coordinate multiple complex tasks with frequent interruptions, while meeting strict deadlines with a high degree of accuracy. Our ideal candidate will have prior experience with Medicare/Medi-Cal and billing for durable medical equipment. Certified coders and candidates with prior experience with ICD-9 or ICD-10 preferred. We are looking for enthusiastic, well-rounded, and motivated team players! Bi-lingual a plus but not necessary.
Responsibilities:
*Attains familiarity with a broad range of DME products and company procedures in order to maintain competency and compliance as it pertains to our company.
*Posting A/R as assigned, making collection calls, submitting claims and billing statements, researching denials and resubmits, etc
*Ensure that all Local, State and Federal laws are being followed.
*Understand and observe HIPAA policy regarding patient and/or co-worker confidentiality.
*Maintain a high work ethic, including attendance and professionalism in all areas.
Minimum Qualifications:
*Experience billing for Medicare Part B strongly preferred
*Minimum 1 year industry specific experience or equivalent education
*Excellent computer skills required including proficient knowledge of Word, Excel and Outlook and demonstrated ability to quickly learn and work a with billing software
*Must be a self-starter with excellent interpersonal and communication skills.
*Must have demonstrated professional demeanor.
*Must be efficient with strong attention to detail, organization and planning, and ability to prioritize tasks.
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