Medical Billing Specialist

Role Overview

• May be required to do one or all of the following dependent on the business needs (including but not limited to): Patient demographic data entry
• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.

Requirements

• Minimum 2 years Revenue Cycle experience in a healthcare setting required
• Must have excellent computer knowledge of Patient Accounting systems
• Associates degree or equivalent; Bachelor’s degree in related field desired
• Coding certificate preferred

Benefits

• Competitive salary
• Incentivized bonus plan
• Ability to work remotely from home
• Three weeks of paid time off, accrual starting first day
• Comprehensive medical, dental, and vision insurance plans
• 401(k) with company match
• Health Savings Account
• Basic Life Insurance coverage
• Cell Phone Allowance