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Medical Billing Specialist

2 months ago


San Antonio, United States RPC Company Full time
Job DescriptionJob Description

Established, successful and Texas-ran healthcare organization currently has a FT (fulltime) opening for an experienced, mid-level Medical Billing Specialist to join on with us, in our tight-knit team 

Assignment: 60 days (with extension if Billing Specialist is a great fit)

SHIFT:

  • Mon to Fri, 8a - 5p (onsite)

Payrange: $20 - $22/hr *(Pay is granted Based on Experience - The more you have, the better)

Job Description:

Performs all billing and collections function of the medical practice to include claim submission, denial appeals, resolving unpaid medical claims, charge entry, fee schedule management, and collections.

 

  • Identify documents, find Physician's NPI
  • Confirm service provided & reason for procedure (blood draw, for which test) to ensure accuracy
  • Send to billing department
  • Input approved authorizations, appeal denied authorizations, follow up on claim status, appeal denied claims, and correct billing errors
  • Assists patients with billing questions, provides patient estimates for procedures.
  • Posts payments and documents payment records and issues in a timely manner.
  • Processes all late payments and delinquent accounts by sending past due notices, submitting negotiated reduction letters, setting up payment arrangements, appealing claims denied by carriers
  • Scans and uploads documents and medical records to charts, processes medical records requests, and requests medical records.
  • Ability to maintain self-discipline and focus on relevant matters in order to timely complete important tasks.

QUALIFICATIONS:

  • Associate’s Degree in Medical Billing and Coding
  • Must have at least two (2) years of experience in Medical Billing and Coding.
  • Blood draw, Phlebotomy lab or medical office experience preferred.
  • Strong knowledge of medical classification systems such as ICD-9, ICD-10, CPT, DSM-IV, and HCPCS.
  • Working knowledge of third-party payers such as HMOs, PPOs, Medicare, Medicaid, and Worker’s Compensation
  • Working knowledge of ERAs and EOBs
  • Working knowledge of payer specific/LCD guidelines.
  • Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification
  • Understanding of CMS billing rules/NCCI, HIPAA and RMH policies and procedures, billing edits and payer requirements for Professional Billing.
  • Working knowledge of EMR systems such as eClinicalWorks, Allscripts, Practice Fusion, Epic, Cerner, etc.
  • Excellent customer service

LICENSES/CERTIFICATIONS:

  1. Medical Billing Certification - i.e. Certified Coding Assistant (CCA), or Certified Coding Specialist (CCS) preferred.

 

Company DescriptionRPC Staffing was founded in 2002 as a firm that combines a hands-on approach with industry expertise and national reach.

We are a Veteran Owned Business; HUB Certified staffing company; a proud member of the Association of the United States Army & American Staffing Association; one of Dallas Business Journal’s Top Hispanic Owned Companies; an INC. 5000 America’s Fastest-Growing Private Company; a six-time winner of Clearly Rated’s Best of Staffing award; and one of Forbes’ America’s Best Professional Recruiting Firms.Company DescriptionRPC Staffing was founded in 2002 as a firm that combines a hands-on approach with industry expertise and national reach.\r
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We are a Veteran Owned Business; HUB Certified staffing company; a proud member of the Association of the United States Army & American Staffing Association; one of Dallas Business Journal’s Top Hispanic Owned Companies; an INC. 5000 America’s Fastest-Growing Private Company; a six-time winner of Clearly Rated’s Best of Staffing award; and one of Forbes’ America’s Best Professional Recruiting Firms.