Billing Specialist

4 weeks ago

Lanham, United States Children's Evaluation & Therapy Center Full time
Job DescriptionJob Description

Billing Specialist (Full-time, part-time)
CETC is seeking a billing specialist to provide medical billing services such as the processing, submission, and payment of patient charges and appropriate follow-up with insurance companies and clients. They provide outstanding professional and interpersonal customer service by means of email, phone calls and in-person conversations. They take the lead in ensuring insurance coverage for a patient’s continuation of care and flow of revenue for the continued growth of CETC.

The ideal candidate for this role will be a self-motivated individual who is able to resolve issues independently with an understanding of when to approach leadership for input and direction. This role can be worked from in the office or part-time in office and at home.

Essential Responsibilities and Duties:

· Proficiently and effectively uses the Practice Management and EHR Software to utilize the billing system database to update facility file, payer information and patient demographic information, to send, edit, receive, and resubmit claims within billing system and assure correct balance of charge and payment batches, and proper reconciliation.

· Submit claims to payers via SFTP and CMS-1500 claim forms and follows up on any denials or rejections within timely filing.

· Initiate appeals, corrects claim submissions, and submit medical records in response to payer requests for information or claims denials within the payor’s timely filing guidelines.

· Utilize Clearinghouse to ensure claims are being received by payers, resolve any rejected claims, and can interpret and upload ERAs received from payers.

· Processes and uploads payments received by ERAs/EOBs into Simple Practice and ensures patient charges and claims accurately reflect their response.

· Performs independent research prior to seeking management assistance.

· Successfully navigate payer websites, phone systems, fax processes and conversations with call representatives to obtain accurate and detailed insurance information.

· Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.

· Keeps detailed records and documentation of any correspondence with payers, clients and any active claims and/or appeals being worked on.

· Review and analyze medical records to ensure accurate coding and billing.

· Communicate with providers, when necessary, to clarify documentation is accurate, up to date and compliable with payer billing requirements.

· Maintain patient confidentiality and adhere to HIPAA regulations.

· Comply and stay updated with all relative coding and ICD-10 guidelines and regulations.

· Ensure all clients remain informed of any outstanding debts and provides solutions to any of the client’s relative problems.

· Provide excellent and compassionate customer service to resolve issues within an appropriate time frame, showing persistence, and seeking alternatives when obstacles arise.

Skills:

· Excellent verbal and written communication and interpersonal skills. Ability to develop and maintain effective relationships with office staff and clients to create confidence, respect, and dependability.

· Displays professionalism in the workplace maintaining a positive team attitude; demonstrates dependability in attendance and timeliness

· Demonstrated ability to utilize Microsoft Outlook, Word, and Excel software applications.

· Ability to learn and familiarize themselves with EHR software and clearinghouse.

· Established knowledge of major payers to identify payer rejection issues and execute the payer procedures needed to reduce the occurrence of future rejections.

· Impressive attention to detail and accuracy within their scope of billing and with any relative/necessary documentation or medical records

· Excellent multitasking, prioritizing and organizational abilities.

· Familiarity with basic office equipment (ex: multi-line phone system, fax machine, photocopier, PC, etc.)

· Can learn basic front desk roles to occasionally answer phone calls from clients, while communicating and following office policies

 Bachelor’s degree in related field (Preferred)

· Minimum of three (3) years’ experience of medical billing and working with an Electronic Health Record software (EHR)

· Minimum of one (1) year of customer service experience.

Job Types: Full-time, Part-time

Pay: $21.00 - $24.00 per hour

Expected hours: 20 – 40 per week

Benefits:

  • Health insurance
  • Paid time off
  • Retirement plan with Employer matching

Schedule:

  • Monday to Friday
  • No weekends

Work setting:

  • Hybrid work
  • Office
  • Private practice

Powered by JazzHR

ky92wC1LGl

  • Medical Billing Specialist

    4 weeks ago

    Lanham, United States FYZICAL Therapy and Balance Centers Full time

    Job DescriptionJob DescriptionThis is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Lanham, MD!In this Medical Billing...

  • Medical Billing Specialist

    3 weeks ago

    Lanham, United States FYZICAL Therapy and Balance Centers Full time

    Job DescriptionJob DescriptionThis is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Lanham, MD!In this Medical Billing...

  • Billing Specialist

    4 weeks ago

    Lanham, United States Children's Evaluation & Therapy Center Full time

    Job DescriptionJob DescriptionBilling Specialist (Full-time, part-time)CETC is seeking a billing specialist to provide medical billing services such as the processing, submission, and payment of patient charges and appropriate follow-up with insurance companies and clients. They provide outstanding professional and interpersonal customer service by means of...

  • Billing Specialist

    1 week ago

    Lanham, United States Children's Evaluation & Therapy Center Full time

    **Billing Specialist (Full-time, part-time)** **Essential Responsibilities and Duties**: - Proficiently and effectively uses the Practice Management and EHR Software to utilize the billing system database to update facility file, payer information and patient demographic information, to send, edit, receive, and resubmit claims within billing system and...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, United States Volunteers of America Chesapeake and Carolina's (V Full time

    **COMPANY OVERVIEW**: **At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, United States VOLUNTEERS OF AMERICA CHESAPEAKE AND CAROLINAS, INC. Full time

    **COMPANY OVERVIEW**: **At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, United States VOLUNTEERS OF AMERICA CHESAPEAKE AND CAROLINAS, INC. Full time

    **COMPANY OVERVIEW**: **At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, United States Volunteers of America Chesapeake and Carolina's (V Full time

    COMPANY OVERVIEW: At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than 70,000...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, United States Volunteers of America Chesapeake and Carolina's (V Full time

    COMPANY OVERVIEW: At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than 70,000...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, United States VOA Chesapeake Full time

    COMPANY OVERVIEW:At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than 70,000...

  • Rehabilitation Specialist

    1 week ago

    Lanham, Maryland, United States Volunteers of America Chesapeake and Carolina's (V Full time

    Job DetailsJob LocationPG Behavioral Health - Lanham, MDPosition TypeFull Time - 40 Plus BenefitsEducation LevelCollege Experience Non-CompletedTravel PercentageUp to 25%Job ShiftDayJob CategoryBehavioral and Mental Health ServicesDescriptionCOMPANY OVERVIEW:At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an...

  • Rehabilitation Specialist

    3 weeks ago

    Lanham, Maryland, United States VOA Chesapeake Full time

    COMPANY OVERVIEW:At Volunteers of America Chesapeake, we provide services in MD, DC, VA and the Carolinas, we are an affiliate under the Volunteers of America National Organization. As a whole, Volunteers of America is more than a non-profit organization. We are a ministry of service that includes more than 16,000 employees nationwide and more than 70,000...

  • Habilitation Specialist

    2 weeks ago

    Lanham, United States Total Care Services Full time

    SCOPE OF POSITION:The Habilitation Specialist is responsible for clinical coordination, monitoring, compliance, and administrative functions relevant to Medicaid Waiver In-Home Support & Hourly Respite services, and other authorized services and supports. The Habilitation Specialist will require minimal supervision to fulfill duties including but not limited...

  • Habilitation Specialist

    4 weeks ago

    Lanham, United States Total Care Services, Inc. Full time

    Job DescriptionJob DescriptionSCOPE OF POSITION: The Habilitation Specialist is responsible for clinical coordination, monitoring, compliance, and administrative functions relevant to Medicaid Waiver In-Home Support & Hourly Respite services, and other authorized services and supports. The Habilitation Specialist will require minimal supervision to fulfill...

  • Habilitation Specialist

    3 weeks ago

    Lanham, United States Total Care Services, Inc. Full time

    Job DescriptionJob DescriptionSCOPE OF POSITION: The Habilitation Specialist is responsible for clinical coordination, monitoring, compliance, and administrative functions relevant to Medicaid Waiver In-Home Support & Hourly Respite services, and other authorized services and supports. The Habilitation Specialist will require minimal supervision to fulfill...

  • Program Support Specialist

    4 weeks ago

    Lanham, United States Helping Hands Family Full time

    Overview: As the office manager, our Program Support Specialist is the heartbeat of our clinics. They schedule sessions, communicate with families, manage session cancelations, plan events, and work closely with the Clinical Director to ensure the clinic operates smoothly. Helping Hands Family (“HHF”) is a top-rated ABA provider managed by a clinical...

  • Dental Treatment/insurance Coordinator-dental Sales

    3 weeks ago

    Lanham, United States Metro Dental Full time

    Overview: We are seeking a highly organized and detail-oriented Treatment Coordinator to join our dental office. The Treatment Coordinator plays a crucial role in ensuring the smooth operation of the office and providing excellent patient care. This position requires knowledge of dental office procedures, medical coding, insurance verification, and adherence...

  • Senior Surveyor

    1 week ago

    Lanham, Maryland, United States IMEG Corp Full time

    Are you Ready to Engineer Your Career? At IMEG, one of the largest design consulting firms in the U.S., we strive to provide exciting and rewarding career opportunities to our team members. We work hard and are passionate about what we do but also love to have fun along the way. We celebrate the ability to be a firm of over 2500 employees in the US and...