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Plano, Texas, United States Edwards Consulting Group Full timeJob Opportunity: Medical Billing and Coding Specialist with MA ExpertiseAre you a knowledgeable Medical Billing and Coding Specialist looking to contribute to a small surgical office while collaborating closely with the Practice Administrator on daily operations? This position is designed for those seeking a stable and long-term role in a supportive...
Medical Biller
3 months ago
Busy Internal Medicine office with 3 locations, We are seeking an experienced and reliable Insurance Specialist/Biller. Ideal candidate will have 2+ years experience in a medical business office. Must be self-motivated, detail oriented, have strong customer service skills, professional phone etiquette and comfortable working in a fast paced environment as part of a team.
Qualifications:
Strong understanding of EMRs, eClinicalWorks knowledge a PLUS
Familiar with Microsoft Excel and Word.
Knowledge of correct coding guidelines. Familiar with CPT/ICD-10 codes, correct use of modifiers, place of service and type of service codes.
Ability to Review/Audit progress notes and results against claims to ensure that claims accurately reflect services rendered.
Knowledge of common billing practices for ancillary services such as laboratory, diagnostic imaging, and other in office procedures.
Familiar with Claim Submission processes for payment from Primary, Secondary, and Tertiary payers.
Familiar with Manage Health Care plans, Medicare/Medicare Advantage health plans; and comfortable navigating Payer web sites to obtain plan specific information. (Insurance Verification/Claim Status/Reimbursement Guidelines, etc.)
Must be self-disciplined and capable of identifying and completing critical tasks independently and timely including follow up on outstanding account receivables, reviewing denials and determining necessary action or appeal to achieve claim resolution.
Must be comfortable talking with and educating providers and staff regarding coding and billing changes.
Must possess strong communication skills and ability to provide excellent patient customer service to assist in resolving patient claim disputes and account issues.
Responsibilities:
Charge Entry/Charge Capture
Denial Management and Correspondence
Claim Submission (Primary/Secondary/Tertiary)
A/R follow up
Appeals
Cash Application included Managed Care Adjustments
Insurance Verification
Patient Collections
Patient Account Inquiries
Review/Process overpayment requests from both patients and insurance
Be part of an AWESOME TEAM
We offer a competitive benefits package which includes medical, dental, and vision insurance, short and long-term disability, life insurance and paid time off and 401(k).
Wage will be discussed at the time of interview.
Job Type: Full-time
Salary: $16.00 - $23.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Monday to Friday
- Medical billing: 1 year (Required)
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