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Medical Billing Specialist
3 months ago
Are you passionate about the healthcare industry and looking to advance your career as a Medical Biller? Do you possess strong attention to detail and a knack for accuracy in billing procedures? If you are seeking an opportunity to join a dynamic team and further your skills in medical billing, then this position might be the perfect fit for you
**Job Overview**:
We are a busy primary care medical clinic looking to add an in-house Medical Biller to our growing team. The Medical Biller will be responsible for full Revenue Cycle Management (RCM).
**Duties**:
- Resolves patient billing inquiries and problems, follows up on balances due from insurance companies and patients.
- Ability to assist patient/family with questions or concerns about their account as it pertains to payment/reimbursement and setting up payment contracts
- Performs insurance billing clerical duties including review and verification of patient account information against payer program specifications.
- Enters data electronically to process charges, payments. denials and adjustments.
- Understands the Revenue Cycle.
- Maintains knowledge of Federal, State and local billing regulations, and informs management and compliance department of discrepancies.
- Completes and submits claims for payment, electronic or hard copy, including initial billing, all insurance re-billing, and secondary or subsequent billings.
- Responsible for accuracy and third party compliance in all aspects of billing activities in particular in relating to clinical attachments, CPT coding, occurrence, condition and value codes, pre-certification, contractual adjustments or required forms.
- Strictly adheres to all rules/regulations and quickly responds to changes, as notified by insurance carriers, employers, third party payers, or government agencies.
- Understands the relationship of timely and thorough claims follow-up to assist in the reduction of days in accounts receivable and payer turn around.
- Maintains a thorough understanding of all HMO, PPO, or managed care contractual relationships and able to determine if correct payments and adjustments were made.
- Credential new providers with insurance and keep credentialing up to date.
- Keep CAQH up to date for all providers.
- Ability to identify a credit balance account and make the correct determination as to whom/where the credit balance should be refunded or transferred.
- Other job duties as assigned.
- A minimum of 1 year of experience doing full-cycle medical billing
- Exceptional attention to detail
- Excellent communication and customer service skills
- Familiarity with CPT and ICD-10 Coding
- Ability to maintain confidentiality of patient information and Company records
- Effective prioritization of issues and workload
**Job Types**: Full-time, Part-time
Pay: From $16.00 per hour
Schedule:
- Monday to Friday
Work setting:
- Clinic
- Office
- Private practice
Work Location: In person