Medical Billing Specialist
1 month ago
Position Summary:
Responsible for billing and processing insurance payments; investigating needed information regarding denied claims with timely follow-up with insurance payers; interpreting the patient account regarding billed codes and chart documentation; communicating with patients and/or guarantors about outstanding balances by phone or mail to collect balances; establishing and monitoring payment plans; documenting all follow-up with insurance payors and patients in the billing software.
Account Reviews:
- Reviews assigned patient schedules to ensure information for insurance claims to include patient demographics, insurance information, diagnosis and treatment codes/modifiers and provider information is complete and accurate.
- Submits insurance claims through billing software’s clearinghouse vendor.
- Understands Managed Care Authorization process as required per individual plan; notifies Authorization Department if an authorization is missing, incomplete, or if insurance changed.
Insurance Follow-Up:
- Follows up with insurance payer on unpaid, underpaid or rejected claims.
- Reviews Denial Report daily; responds to non-payment reason codes; refile claims as needed.
- Checks for maximum reimbursement for services and providers.
- Prepares appeal letters needed to support any unpaid claims with needed documentation.
- Ensure that secondary claims have been submitted for patients with more than one insurance.
- May assist with re-verification of patient benefits, eligibility and coverage as needed.
Patient Responsible Balances:
- Determines patient responsible co-pays, deductibles, and co-insurance.
- Prepares a weekly Patient Balance Log for the Clinic Front Desk to use to collect patient responsible balance.
- Establishes payment plans for past due balances; monitors collections; documents payment plan in the billing software.
- Performs ‘soft collections’ for patient past due accounts to include a letter and/or phone call.
Posting:
- May assist with posting patient payments.
Medicare Reviews and Audits:
- Assist with reviews and audits as needed or assigned.
Minimum Qualifications:
- High School Diploma or GED.
- At least three (3) years of Medical insurance billing and coding experience.
- Basic understanding of medical ICD 10 and CPT medical billing codes.
- Knowledge or experience with Wound Care and Hyperbaric Therapy, preferred.
Essential Responsibilities:
- Proficient use of computers, Microsoft Office, and common office equipment.
- Good verbal and written communication skills.
- Detailed oriented and ability to prioritize work assignments; able to work independently.
- Familiarity with HIPAA privacy requirements regarding patient information.
US Wound Care and Hyperbaric Centers is an equal employment opportunity employer and considers qualified applicants for employment without regard to race, gender, age, color, religion, national origin, marital status, disability, sexual orientation, protected military/veteran status or any other protected factor
-
Medical Records Specialist
3 weeks ago
Flower Mound, United States Dynamic Global Full timeJob DescriptionJob DescriptionThis opportunity is a contract-to-hire, full time position working in a beautiful CBO.Monday- Friday, 8:30AM - 5:00PM.Accountabilities / ResponsibilitiesThe Medical Records Specialist processes and organizes medical records in a timely manner and in compliance with regulatory and accrediting agencies, as well as state and...
-
Claims Specialist
2 months ago
Flower Mound, United States Teach Me Personnel LLC Full timeCompany Description Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy & Beyond, we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in Applied Behavior Analysis (ABA) therapy, Speech-Language...
-
Claims Specialist
3 weeks ago
Flower Mound, United States Teach Me Personnel LLC Full timeCompany Description Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy & Beyond, we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in Applied Behavior Analysis (ABA) therapy, Speech-Language...
-
Medical Office Specialist
4 weeks ago
Flower Mound, United States HCA Full timeIntroduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Office Specialist opening with Texas Back Institute today and find out what it truly means to be a part of the HCA Healthcare team. Benefits Texas Back Institute, offers a total rewards package that supports the health, life,...
-
Medical Office Specialist
3 weeks ago
Flower Mound, United States HCA Full timeIntroduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Office Specialist opening with Texas Back Institute today and find out what it truly means to be a part of the HCA Healthcare team. Benefits Texas Back Institute, offers a total rewards package that supports the health, life,...
-
Medical Assistant
4 weeks ago
Flower Mound, United States Lewisville Obstetrics & Gyneco Full timeJob DescriptionJob DescriptionWe are seeking a Medical Assistant to become a part of our team! You will perform routine administrative and clinical assignments to keep the medical facility running smoothly.Responsibilities:Handle all administrative duties in a timely mannerPerform routine clinical tasks to support medical staffCommunicate with insurance...
-
Medical Office Manager
2 weeks ago
Flower Mound, United States IMedicine Full time**Job description** **Job Summary**: **Duties**: - Manage and supervise medical office staff - Implement and maintain office policies and procedures - Oversee patient scheduling and ensure smooth patient flow - Handle billing, coding, and insurance claims - Coordinate with healthcare providers to optimize patient care - Maintain medical records in...
-
Medical Office Manager
2 weeks ago
Flower Mound, United States B L Wasson DO PA Internal Medicine dba Imedicine Full time**Job Summary**: **Duties**: - Manage and supervise medical office staff - Implement and maintain office policies and procedures - Oversee patient scheduling and ensure smooth patient flow - Handle billing, coding, and insurance claims - Coordinate with healthcare providers to optimize patient care - Maintain medical records in compliance with regulations -...
-
Inventory Specialist
3 weeks ago
Flower Mound, United States The Job Center Staffing Full timeInventory Specialist - 1st shift The Job Center is now hiring an inventory specialist in Flower Mound, TX. This is a great opportunity for a temp to hire placement. Currently hiring full time employees for first shift! Compensation of Inventory Specialist 1st Shift Monday- Friday 6am-2:30pm $16.50 per hour Paid Weekly on Fridays Benefits Include: Medical,...
-
Inventory Specialist
3 weeks ago
Flower Mound, United States The Job Center Staffing Full timeInventory Specialist - 1st shift The Job Center is now hiring an inventory specialist in Flower Mound, TX. This is a great opportunity for a temp to hire placement. Currently hiring full time employees for first shift! Compensation of Inventory Specialist 1st Shift Monday- Friday 6am-2:30pm $16.50 per hour Paid Weekly on Fridays Benefits Include: Medical,...
-
Medical Office Manager
2 weeks ago
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionJob description**Job Summary:**We are seeking a skilled Medical Office Manager to oversee the daily operations of our medical facility. The ideal candidate will manage staff, handle financial matters, and ensure the office runs efficiently.**Duties:**- Manage and supervise medical office staff- Implement and maintain office...
-
Medical Office Manager
1 week ago
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionBenefits:401(k)Paid time offTraining & developmentJob description**Job Summary:**We are seeking a skilled Medical Office Manager to oversee the daily operations of our medical facility. The ideal candidate will manage staff, handle financial matters, and ensure the office runs efficiently.**Duties:**- Manage and supervise...
-
Medical Office Manager
1 week ago
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionJob description**Job Summary:**We are seeking a skilled Medical Office Manager to oversee the daily operations of our medical facility. The ideal candidate will manage staff, handle financial matters, and ensure the office runs efficiently.**Duties:**- Manage and supervise medical office staff- Implement and maintain office...
-
Accounting Specialist
2 days ago
Flower Mound, United States CornerStone Staffing Full timeJob DescriptionJob DescriptionCornerStone Professional Placement is seeking an Accounting Specialist to support a medical equipment and repair client located in the Flower Mound, TX area. As the Accounting Specialist, you will be performing accounting processes, account receivable and accounts payable functions, process payments, prepare invoices,...
-
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionWe seek a back-office Accounts Receivable/Accounts Payable Backoffice staff to join our team in an Internal Medicine office. In this role, you will be responsible for the timely and accurate reviewing of customer balances, GL account reconciliation, patient payments, and reviewing charts for billing coding. Your duties will...
-
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionWe seek a back-office Accounts Receivable/Accounts Payable Backoffice staff to join our team in an Internal Medicine office. In this role, you will be responsible for the timely and accurate reviewing of customer balances, GL account reconciliation, patient payments, and reviewing charts for billing coding. Your duties will...
-
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionBenefits:401(k)Paid time off We seek a back-office Accounts Receivable/Accounts Payable Backoffice staff to join our team in an Internal Medicine office. In this role, you will be responsible for the timely and accurate reviewing of customer balances, GL account reconciliation, patient payments, and reviewing charts for billing...
-
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionBenefits:401(k)Paid time off We seek a back-office Accounts Receivable/Accounts Payable Backoffice staff to join our team in an Internal Medicine office. In this role, you will be responsible for the timely and accurate reviewing of customer balances, GL account reconciliation, patient payments, and reviewing charts for billing...
-
Flower Mound, United States IMedicine Full timeJob DescriptionJob DescriptionBenefits:401(k)Paid time off We seek a back-office Accounts Receivable/Accounts Payable Backoffice staff to join our team in an Internal Medicine office. In this role, you will be responsible for the timely and accurate reviewing of customer balances, GL account reconciliation, patient payments, and reviewing charts for billing...
-
Medical Assistant
1 month ago
Flower Mound, United States Internal Medicine Full timeJob DescriptionJob DescriptionAs a Medical Assistant, you will be responsible for providing administrative support to ensure efficient operation of the medical office. You will support doctors and patients through a variety of tasks related to patient care management, organization, and communication.The target is to complete all activities accurately, with...
