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Medical Billing Specialist/Claim
2 months ago
Position Summary
Responsible for all claim submission, electronic and paper, ERA posting, Medicare A/R, and Medicare aging. Cross-trained to cover other billing department positions.
Duties & Responsibilities include but are not limited to:
- Transmits claims daily and generates proper reports to ensure claims are submitted properly.
- Corrects rejected claims and communicates with staff accordingly to educate and correct issues.
- Responsible for keeping in contact with the patient management system, vendors, and clearinghouse on electronic changes, rejections, and denials or software problems regarding ERA's and claim submission.
- Responsible for making sure referrals and authorizations are attached to claims.
- Responsible for working and appealing Medicare denials, printing out secondary claims, and attaching Medicare explanation of benefits.
- Counseling patients in the office about account balances, making payment arrangements, and taking payments from patients.
- Attends to receptionist and patients incoming calls on billing questions.
- Responsible for posting electronic ERA's into the patient management system.
- Responsible for attending meetings and listening to webinars to keep up with Medicare/Medicaid changes, such as HMOs.
- Assists with patient credit reports and issues refund requests.
- Performs related work required or requested by providers or administrators.
- Practice and adhere to HIPPA regulations.
Qualifications & Specifications
- Education-high school diploma or GED.
- Knowledge of basic office equipment including copier, fax machine, and computer.
- Experience-minimum of one to two years in insurance and collections
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