Medical Billing Specialist

3 weeks ago


Monroeville, Pennsylvania, United States A-Line Staffing Solutions Full time
Job Title: Hybrid Medical Billing Collections Specialist

Overview:

  • We are seeking a skilled Hybrid Medical Billing Collections Specialist to join our team at A-Line Staffing Solutions. As a Hybrid Medical Billing Collections Specialist, you will be responsible for timely response to Medicare audits and appeals, researching and gathering documentation to form all levels of appeals for Medicare, and resolving issues with nonpayment of invoices due to insurance problems.

Responsibilities:

  • Timely response to Medicare audits and appeals
  • Research and gather the appropriate documentation to form all levels of appeals for Medicare
  • Third party follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing
  • Resolve issues with nonpayment of invoices due to insurance problems that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
  • Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
  • Maintain patient demographic information and data collection systems
  • Contact patients and Physician's offices as well as insurance companies as needed in order to expedite claims processing

Requirements:

  • 18 months Healthcare Insurance related experience
  • Experience using Microsoft Office products, specifically Excel, Outlook, and Word
  • Insurance billing or collections experience
  • Customer service in a healthcare environment
  • Experience working in a healthcare reimbursement system
  • Effective customer service skills and experience that shows ability to work in a team environment
  • Attention to detail
  • Ability to utilize analytical skills
  • Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail
  • Ability to communicate with clientele in a professional manner; both verbally and written

Benefits:

  • Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates


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