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Medical Billing Specialist ENT
3 months ago
- 401(k)
- 401(k) matching
- Bonus based on performance
- Health insurance
Daniel J. Leeman, MD is a well established boutique Ear, Nose, Throat practice located in the Mueller Neighborhood in Austin, Texas 78723.
Our team is looking to add a Medical Billing Specialist to our growing team
Qualifications:
- Minimum of (1) to (3) years of billing/collections experience within a clinic or physician practice. ENT preferred.
- High school diploma required; formal billing education preferred.
- Strong working knowledge of insurance plans, including Medicare and Medicaid.
- Strong working knowledge of ICD-10 and CPT coding.
- Strong working knowledge of claim appeals, denials, and their processes.
- Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems.
- Effective time management and the ability to prioritize work.
- Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.
- Ability to read and interpret medical charts.
- Reviews and analyzes insurance claims being sent electronically on a daily basis.
- Ensures claims are sent electronically and via paper every day,
- Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission.
- Generates CMS 1500 forms, when necessary.
- Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting.
- Works closely with lead biller to facilitate the gathering of information that will insure proper response to claim denials.
- Follow-up on all unpaid claims in a timely manner.
- Generate and work aging reports weekly.
- Maintain computer office notes for clear audit trail on every account worked.
- Maintains tickler files, claims, and follow-up.
- Work delinquent reports after all correspondence is updated.
- Update patient insurance information to guarantee correct insurance billing.
- Provide customer service to patients inquiring about their patient account statements.
- Effectively communicate with patients and insurance companies regarding sensitive financial matters.
- Send via mail or fax: invoices, medical reports and patient notes to insurance companies to collect payments.
- Print aging/delinquent reports; review work accounts.
- Assist with collecting payments via phone.
- Often times helping with billing out clean claims and posting claims.
- PTO
- 401(k)
- Medical
- Dental
- Vision
- Great team culture
