Medical Billing Specialist

4 weeks ago

The Woodlands, United States Renrmn Enterprises LLC Full time

**Responsibilities**
- Processing insurance claims through both private insurance and Medicare
- Process insurance denials and appeals to ensure timely account resolution
- Identify denial trends and determine process changes to prevent future denials
- Work with Medical Coders to address editing coding and payment related issues
- Enter all billing and payment information into the system properly and without errors
- Responsible for lowering AR over 90 days to acceptable standards
- Answer phones, assist clients with questions, take messages, and screen calls
- Handle incoming calls from patients and insurance companies regarding claims and patient balances
- Maintains the highest level of confidentiality.
- Supports and adheres to all policies and procedures.
- Review accounts that have partial or under payments
- Work with supervisors to streamline billing procedures based on denial types
- Post contractual adjustments and transfer deductibles to patient accounts based of correspondence from the insurance carriers
- Daily follow up on all claim reports generated based on rejections, appeals and denials by the insurance carrier
- Uphold confidentiality and security standards by adhering to professional guidelines, company policies, and federal, state, and local requirements

**Qualifications**
- EClinical works experience a must
- 3 years' experience in healthcare collections setting
- In-depth knowledge of CPT and ICD-10 codes, Medicare and commercial billing rules, insurance reimbursement methods, claims

appeal process, managed care contracts, and payments
- Ability to read explanation of benefits (EOBs) is critical for this position
- Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making
- Ability to work collaboratively with other team members to support data quality and integrity initiatives
- Great organizational skills
- Ability to work on multiple assignments concurrently within established timeframes
- Ability to multi-task, establish and meet deadlines
- Ability to work in fast-paced environment and maintain accuracy
- Strong verbal and written communication skills
- Ability to troubleshoot and recommend root cause solutions to problems
- Above average organizational and time management skills
- Strong Microsoft Office experience with emphasis on Excel (intermediate to advanced)
- Knowledge of Federal, state and HIPAA privacy regulations
- High School graduate or equivalent

**Benefits**:

- Health insurance
- Vision insurance
- Dental insurance
- Life insurance
- Vacation
- Competitive Compensation

Great Work Environment

Career Advancement Opportunities

  • Billing Associate

    2 weeks ago

    The Woodlands, United States Pediatrix Medical Group Full time

    Overview Responsibilities * Verifies insurance benefits and eligibility and obtains valid authorizations and referrals. * Obtains medical information from physicians and hospitals when required to validate correct coding. * Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. * Reviews billing and coding...

  • Billing Associate

    2 days ago

    The Woodlands, United States Pediatrix Medical Group Full time

    Overview Responsibilities * Verifies insurance benefits and eligibility and obtains valid authorizations and referrals. * Obtains medical information from physicians and hospitals when required to validate correct coding. * Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. * Reviews billing and coding...

  • Billing Associate

    2 days ago

    The Woodlands, United States Pediatrix Full time

    Overview: **Responsibilities**: - Verifies insurance benefits and eligibility and obtains valid authorizations and referrals. - Obtains medical information from physicians and hospitals when required to validate correct coding. - Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. - Reviews billing and...

  • Billing Associate

    2 weeks ago

    The Woodlands, United States Pediatrix Full time

       Verifies insurance benefits and eligibility and obtains valid authorizations and referrals. Obtains medical information from physicians and hospitals when required to validate correct coding. Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when...

  • Billing Associate

    2 days ago

    The Woodlands, United States Pediatrix Full time

       Verifies insurance benefits and eligibility and obtains valid authorizations and referrals. Obtains medical information from physicians and hospitals when required to validate correct coding. Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when...

  • Accounts Receivable Specialist

    2 weeks ago

    The Woodlands, United States Bfv Shared Services Llc Full time

    **Position Description**: The Accounts Receivable Specialist is responsible for sending and collecting on receivables from customers as well as the general clerical duties and recording of daily transactions and assists in maintaining and controlling the General Ledger accounts and business transactions of the company. **Responsibilities**: - Review all...

  • Financial Operations Specialist

    1 month ago

    The Woodlands, United States AEG FUELS Full time

    Company Description:Associated Energy Group, LLC (dba AEG Fuels) is a global aviation fuels and services supply chain management company. The company’s core business is the marketing and financing of fuel supply and logistics solutions for the world’s largest airlines, militaries, and corporate operators.AEG Fuels serves its clients through a network of...

  • Financial Operations Specialist

    2 months ago

    The Woodlands, United States AEG FUELS Full time

    Company Description:Associated Energy Group, LLC (dba AEG Fuels) is a global aviation fuels and services supply chain management company. The company’s core business is the marketing and financing of fuel supply and logistics solutions for the world’s largest airlines, militaries, and corporate operators.AEG Fuels serves its clients through a network of...

  • Certified Coder

    1 month ago

    The Woodlands, United States Cypress Physicians Assoc Full time

    Job Summary: We are seeking a detail-oriented and experienced Coding Specialist to join our team. The Coding Specialist will be responsible for accurately assigning medical codes to patient records, ensuring compliance with coding guidelines and regulations. This role requires a strong understanding of medical terminology, coding systems, and medical billing...

  • Inventory Specialist

    2 weeks ago

    The Woodlands, United States St Luke's Health - The Woodlands Campus Full time

    **Overview** The Woodlands Hospital a primary and secondary care hospital serving North Harris and Montgomery counties. Clinical services include cardiovascular services diagnostic imaging women’s services (digital mammography and bone density studies) neurosciences pediatric care (Newborn and Level II nurseries) and surgery pathology and pulmonary...

  • Medical Staff Services Specialist

    3 days ago

    The Woodlands, United States Houston Methodist The Woodlands Hospital Full time

    **PEOPLE ESSENTIAL FUNCTIONS** - Assists with customer needs, handles resolution of complex problems/issues and notifies management of issue and resolution, such as physician onboarding and education (CME's) as related to scope of department. - Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one...

  • Accounts Payable Specialist

    1 week ago

    The Woodlands, United States Trecora Full time

    Are you an experienced Accounting Professional looking to obtain a position as an Accounts Payable Specialist in The Woodlands, Texas? Are you detail-oriented and enjoy working collaboratively with a team? We are looking for a motivated Accounts Payable Specialist who can bring accounting expertise and experience to our organization. This position will...

  • Accounts Payable Specialist

    1 day ago

    The Woodlands, United States Trecora Full time

    Are you an experienced Accounting Professional looking to obtain a position as an Accounts Payable Specialist in The Woodlands, Texas? Are you detail-oriented and enjoy working collaboratively with a team? We are looking for a motivated Accounts Payable Specialist who can bring accounting expertise and experience to our organization. This position will...

  • Front Office Specialist II

    2 weeks ago

    The Woodlands, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Front Office Specialist II and Medical Assistant - this is a dual role, and the incumbent will need to be someone who works well in a fast-paced setting. In this position, you will work collaboratively with other members of the healthcare team to render population-appropriate care for low-acuity pediatric patients. Also...

  • Front Office Specialist II

    2 days ago

    The Woodlands, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Front Office Specialist II and Medical Assistant - this is a dual role, and the incumbent will need to be someone who works well in a fast-paced setting. In this position, you will work collaboratively with other members of the healthcare team to render population-appropriate care for low-acuity pediatric patients. Also...

  • Charge Capture Specialist

    2 months ago

    The Woodlands, United States The Woodlands Specialty Hospital Full time

    Job DescriptionJob Description Job Title:Charge Capture SpecialistDepartment:Materials ManagementReports To:Director of MaterialsFLSA Status:Non-ExemptDate:4/16/2024 Position Summary   Charge Capture Specialist is responsible for ensuring that all charges for supplies are captured and added to the encounter.  This includes identifying, analyzing,...

  • Charge Capture Specialist

    6 days ago

    The Woodlands, United States The Woodlands Specialty Hospital Full time

    Job DescriptionJob Description Job Title:Charge Capture SpecialistDepartment:Materials ManagementReports To:Director of MaterialsFLSA Status:Non-ExemptDate:4/16/2024 Position Summary   Charge Capture Specialist is responsible for ensuring that all charges for supplies are captured and added to the encounter.  This includes identifying, analyzing,...

  • Charge Capture Specialist

    1 day ago

    The Woodlands, United States The Woodlands Specialty Hospital Full time

    Job DescriptionJob Description Job Title:Charge Capture SpecialistDepartment:Materials ManagementReports To:Director of MaterialsFLSA Status:Non-ExemptDate:4/16/2024 Position Summary   Charge Capture Specialist is responsible for ensuring that all charges for supplies are captured and added to the encounter.  This includes identifying, analyzing,...

  • Medical Front Office Coordinator

    2 weeks ago

    The Woodlands, United States Renrmn Enterprises LLC Full time

    **Benefits**: - Dental insurance - Employee discounts - Health insurance - Opportunity for advancement Location: The Woodlands, Texas **Front Office**:The Front Office Coordinator oversees the administrative duties of the facility. They are responsible for moving the patients through the intake and checkout process. Front Office Coordinators must ensure...

  • Medical Front Office Coordinator

    2 days ago

    The Woodlands, United States Renrmn Enterprises LLC Full time

    **Benefits**: - Dental insurance - Employee discounts - Health insurance - Opportunity for advancement Location: The Woodlands, Texas **Front Office**:The Front Office Coordinator oversees the administrative duties of the facility. They are responsible for moving the patients through the intake and checkout process. Front Office Coordinators must ensure...