Medical Billing Specialist

4 weeks ago

Norwood, United States HealthRev Works Full time
Job DescriptionJob DescriptionThis full-time opening is available for immediate hire. Company is a reputable, third-party medical billing company providing billing and consulting services to clients of various provider specialties. Please submit your resume ONLY if you believe you match the job requirements outlined below. Resumes that do not match will not be retained.

Insurance A/R Coordinator

Qualified applicants should possess a minimum of 2 years of experience in the medical billing field with a focus on physician services. Experience with multiple provider specialties is very much preferred. Knowledge of the CareTracker billing system is a PLUS, but very detailed hands-on industry experience is most important.

Significant exposure to the following aspects of billing / revenue management is required:

  • Patient Registration
  • Insurance Eligibility Verification
  • Service Coding
  • Charge Entry
  • Claim Submission Errors
  • Insurance Payment Processing
  • Patient Payment Processing
  • Customer Service
  • A/R Follow-up
This position will be primarily responsible for the following tasks of Insurance A/R follow-up:

  • Unpaid Claims
  • Unpaid Crossover Balances
  • Denials Management
  • Appeals Submission
  • Insurance Credit Balance Review
  • Takeback Requests / Refunds
The ideal candidate will possess a dedicated work ethic, strong problem-solving skills, commitment to meet/exceed the company’s high level of quality, and an overall positive attitude. The ability to independently troubleshoot and research complex issues is necessary in order to be successful at this position. It is a must to follow the constantly changing policies from the various insurance payers in order to proactively anticipate operational and workflow-related changes that the billing operation must adhere to in order to avoid unnecessary denials and loss in provider reimbursement. Strong attention to detail and great diligence in following through on complicated and/or time-consuming items is critical. Coordination and timely communication with management and fellow team members on new trends/issues is essential. We operate in small teams, so demonstrating that you can work well with others is absolutely necessary.

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