Medical Billing Specialist

7 hours ago

Dallas, Texas, United States NuScript Systems, Inc. Full time
Job SummaryAs a Medical Billing Specialist at NuScript Systems, Inc., you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.

Key Responsibilities
  • Function as a subject matter expert in support of other billing team members.
  • Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment posting, and reconciliation procedures.
  • Approve or deny requested adjustments and refunds within role thresholds.
  • Manage and resolve denied, adjusted, or underpaid procedures on insurance accounts to reduce Accounts Receivable.
  • Prepare and submit electronic and paper claims to insurance companies.
  • Collaborate with multiple clinics and providers to rectify demographic errors.
  • Communicate effectively with insurance companies, adjusters, and third-party payers via phone, email, and other channels.
  • Analyze insurance EOBs to ensure correct payment for all procedures.
  • Identify trends and issues with various payers and propose solutions for resolution.
  • Process and post insurance payments promptly.
  • Submit insurance claims to payers in a timely manner, adhering to compliance regulations.
  • Ensure compliance with relevant state and federal agencies.
  • Ensure quality and productivity standards are met or exceeded.
  • Perform other related duties as assigned.


Requirements
  • A minimum of 3 years' experience as a medical biller, collector, or a similar role.
  • Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned.
  • Adaptability to change and ability to prioritize tasks effectively in a fast-paced environment.
  • Proficiency with office management tools, particularly Microsoft Office software.
  • Exceptional organizational and time-management skills.
  • Outstanding written and oral communication abilities.
  • Detail-oriented and problem-solving mindset.
  • Ability to translate and analyze data into reports.
  • Excellent interpersonal and supervisory skills.
  • Ability to act with discretion, tact, and professionalism in all situations.
  • Ability to maintain records and produce reports.
  • Extreme attention to detail.


Preferred Qualifications
  • Knowledge and proficiency with the billing system of 'Tebra or Kareo' is a big plus.
  • Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification is a plus.

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