Medical Billing Rep

2 weeks ago


Tulsa OK United States Trinity Employment Specialists Full time
Medical Billing Rep| Tulsa, OK

Monday - Friday

$17-$20

Duties and Responsibilities:

•Submit claims and follow up with insurance payer on unpaid, rejected, or denied claims.

•Correct and resubmit claims as necessary.

•Collect and enter claim information as necessary.

•Ensure claim information is complete and accurate.

•Submits insurance claims to payer electronically or via paper.

•Prepares and submits appeal letters to payer when not in agreement with claim denial.

•Prepare and submit secondary and tertiary claims as needed.

•Assess aged accounts to establish adjustment recommendations.

•Post insurance and patient payments using medical billing software.

•Assist internal staff in answering questions pertaining to billing.

•Create and monitor aging reports to ensure timely follow up and resolution.

•Ability to analyze claims in order to identify trends.

•Prepare patient refund requests for approval by Revenue Cycle Director.

•Establish and maintain payment plans for patient accounts.

•Collect on delinquent patient accounts through phone and mail correspondence.

•Assist internal staff in answering questions pertaining to billing.

•Assist Revenue Cycle Director to resolve claim/billing issues as needed.

•Maintain up-to-date procedure manual.

•Maintains confidentiality of information at all times. Process pre-authorization requests for specialty services as needed.

Qualifications and Skills:

•Two (2) to five (5) years of previous medical billing and/or outpatient claims experience preferred.

•Proficiency in ICD-10 and CPT medical billing codes.

•Bilingual English/Spanish is a plus, but not required

•Extensive knowledge of insurance claim submission and reimbursement processes.

•Extensive knowledge of Medicare and Medicaid billing protocol.

•Excellent skills in time management, cognitive reasoning, workflow solutions, etc.

•Excellent skills in Math, English usage, grammar, punctuation and style.

•Excellent written and verbal communication skills.

•Highly organized and detailed oriented.

•Knowledge of federal and state regulation regarding privacy under the Privacy Act and HIPAA privacy and security rules.

•Professional and business-like in appearance and demeanor.

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Verify accuracy of billing data and revise any errors.

Resolve discrepancies in accounting records.

Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.

Operate typing, adding, calculating, or billing machines.

Post stop-payment notices to prevent payment of protested checks.

Verify signatures and required information on checks.

Keep records of invoices and support documents.
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