Medical Billing Specialist

4 weeks ago

North Richland Hills, United States R3 Wound Care & Hyperbarics Full time
Job DescriptionJob DescriptionAbout R3:

R3 Wound Care & Hyperbarics (R3) is an innovative, alternative, and patient-centric provider of healthcare services across the Dallas Fort Worth (DFW) metroplex, Houston, and San Antonio. We are entering an exciting phase as a company, with a strategic focus on enhancing the current clinical delivery model and platform, and then leveraging that platform to grow the business and the footprint of our clinics. Our culture at R3 is predicated on each one of our employees’ willingness to pitch in, wherever necessary, to ensure our patients are served at the highest quality levels of care and comfort.

R3 Benefits:

Our team members receive personal satisfaction knowing that they are helping people heal. Additionally, they receive a very competitive base compensation and attainable monthly incentive pay. Eligible team members also receive a comprehensive benefits package including PTO, Holiday, Bereavement, and Maternity Leaves; 401k; company sponsored health and dental insurances; a full array of voluntary benefits; continuous training; and professional development, led by the R3 Revenue Cycle Manager.

Job Summary:

We are seeking a detail-oriented and analytical Medical Biller to join our Revenue Cycle team. This individual will be responsible for effectively communicating with insurance companies to verify patient billing, utilize personal and professional skills to represent R3 by verifying correct coding and entering medical claims in EHR system, basic administrative duties as well as completing billing audits when needed. This individual must be a strong communicator and able to follow proper billing procedures.

Duties and responsibilities:

  • ​​​​Create weekly reports as required and distribute accordingly.
  • Complete projects/task by assigned deadline.
  • Effectively communicate with clinic administrators as needed regarding patient/physician office updates and concerns.
  • Understand and follow proper billing procedures.
  • Comply with all patient privacy and HIPAA rules.
  • Enter charges accurately and on a timely manner to ensure proper records handling and fast payment processing.
  • Research and provide insight on any billing issues that may arise.
  • Understand managed care authorizations and limits to coverage such as the number of visits or medical policy and patients benefit plan.
  • Review patient charts to ensure billing code accuracy.
  • Ability to locate ICD10 diagnosis, and CPT treatment codes from online sources or traditional coding references utilizing the patient’s medical records.
  • Processing and applying patient payment plans.
  • Knowledgeable about the insurance and reimbursement process
  • Create weekly deposit batch.
  • Upload EOBs and $0 pay statements.
  • Maintain the Provider Log in a timely manner.
  • Special projects as assigned.

Qualifications:
  • Must have a professional and positive demeanor.
  • Medical coding certification is preferred.
  • Must have 3 years of medical billing experience required.
  • Self-starter who works well independently and as a member of a team.
  • Must be proficient in organization and multitasking.
  • Must be proficient with Outlook, Word, Excel, Payor portals, and referencing payor policies.

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