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Medical Billing Coordinator

1 month ago


Las Vegas, Nevada, United States Quality Medical Imaging Full time
About the Organization

At Quality Medical Imaging, we strive to deliver exceptional medical imaging services to our patients. Our commitment to quality and customer satisfaction drives our mission to provide timely and accurate medical billing services.

Job Summary

We are seeking a skilled Billing Specialist to join our team. The successful candidate will be responsible for administering the processing and collection of insurance claims, as well as assisting patients with inquiries regarding their healthcare insurance coverage.

Key Responsibilities
  • Prepare and submit clean claims to various insurance providers in a timely manner.
  • Track and follow up on delinquent insurance collections and denials.
  • Prepare and review patient statements for accuracy.
  • Maintain and work accounts receivable reports for billing.
  • Identify and resolve patient billing complaints.
  • Perform various collections, including contacting patients by phone and correcting and resubmitting claims to third-party payers.
  • Responsible for posting payments and adjusting accounts per company billing guidelines.
  • Maintain strictest confidentiality and adhere to all HIPAA guidelines and regulations.
  • Adhere to Medicare and Medicaid guidelines.
  • Work with insurance providers to expedite the collection process and ensure any pre-authorization requirements are met.
  • Reviews accounts for possible assignment and makes recommendation to the Billing Supervisor, and prepares information for the collection agency.
  • Responsible for facility billing.
  • Responsible for processing refunds to insurance carriers. Notifies VP of refunds and creates adjustments on accounts.
  • Responsible for return mail. Working with facilities, patients and insurance websites to obtain correct information.
  • Responsible for verifying insurance coverage on claims prior to submitting to carriers.
  • Assists intake Department on insurance questions relative to orders or insurance verification
Requirements
  • Preferred 2 or more years in a medical billing office.
  • High school diploma or general education degree (GED).
  • Medical billing certification.