Medical Billing Specialist

Role Overview

• Completes medical insurance follow-up process accurately and timely for a designated group of accounts
• Analyzes, researches and prepares the insurance claims to be submitted to insurance carriers
• Responds to all inquiries, billing denials, and other correspondence and phone requests
• Attach necessary documentation when mailing claims to payors
• Handles telephone inquiry, according to policy, on delinquent claims
• Maintains excellent rapport with the customer in this process
• Resolves problem accounts independently using sound judgement
• Documents activity within client’s patient accounting system and EOS systems
• Continuing education in rules and regulations governing the processing of accounts receivable

Requirements

• 2 years of previous experience working with commercial or other third-party insurance claims
• Medical billing/follow-up
• An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
• EPIC experience preferred but not required
• Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required

Benefits

• Insurance/401k
• PTO/Paid holidays
• Referral bonuses