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Medical Billing Specialist

2 months ago


The Woodlands, United States Renrmn Enterprises LLC Full time

Benefits:

  • Employee discounts
  • Health insurance

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
  • Indepth knowledge of CPT and ICD10 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 multitask, establish and meet deadlines
  • Ability to work in fastpaced 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
  • High School graduate or equivalent

Benefits:

  • Health insurance
  • Life insurance
  • Vacation
  • Competitive Compensation
  • Great Work Environment
Career Advancement Opportunities