MEDICAL BILLING SPECIALIST
2 weeks ago
Essential duties and responsibilities include, but are not limited to, the following:
• Charge Processing -Ensuring all billing documents are accurately processed in a timely manner
• Claims Reconciliation- Resolve all electronic claims rejections and verify carrier receipt
• Denial Management- Track and trend denials which include zero payments and incorrect payments
• Charges Audits- Perform audit during charge entry and weekly
• Patient Follow-up- Perform pre-collection activities
• Patient Billing Inquiries- Assist patient with understanding their benefit and out-of-pocket responsibility
• Insurance Carrier File Maintenance- Enter and update insurance codes in Allscripts PM
• Medical Records Requests- Process requests for records from insurance plans
• Weekly Updates- Give weekly updates on billing and denial trends
• Physician and Staff Billing Inquiries- Research and answer all billing questions
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: Bachelor's degree in a Healthcare or Business field; a minimum of three years of experience in the Healthcare industry; or an acceptable combination of education and experience.
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