Medical Biller Specialist

3 weeks ago


Biloxi, Mississippi, United States Scarsdale Medical Group Full time

Job Title: Medical Biller Specialist

Job Summary: We are seeking a skilled Medical Biller Specialist to join our team at Scarsdale Medical Group. As a Medical Biller Specialist, you will be responsible for ensuring the accuracy and timeliness of charge entry, denial management, and monitoring of non-payments.

Key Responsibilities:

  • Ensure all claims are billed expediently and efficiently
  • Understand and adhere to performance standards, policies, and behaviors
  • Demonstrate a comprehensive understanding of all insurance companies, their policies, guidelines, and contracts
  • Stay informed of changes in coding rules and guidelines, and actively research industry changes
  • Identify and analyze trends in denials and recommend process improvements or additional training for front-end staff
  • Monitor write-offs and work to minimize losses
  • Actively pursue all non-payments, identify causes, and provide recommendations for corrective action
  • Serve as a resource for front-end and clinicians for coding questions
  • Fulfill organizational responsibilities, including promoting patient rights and responding to emergencies
  • Adhere to infection control standards, including proper hand hygiene and use of PPE
  • Collaborate and communicate effectively with the healthcare team
  • Complete annual mandatory requirements, including occupational health requirements
  • Attend mandatory in-services and staff meetings as required or requested

Requirements:

  • Ability to work independently and as part of a team
  • Proficient in problem assessment and resolution in complex settings
  • Strong customer service skills, with sensitivity in stressful situations
  • Ability to manage multiple tasks and set priorities
  • Maintain composure under stress


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