Medical Billing Specialist
1 month ago
**Job Summary:**
We are seeking a skilled Medical Billing Specialist to join our team at North Carolina Specialty Hospital. In this role, you will be responsible for assisting with all functions associated with billing and third-party payers.
**Responsibilities:**
- Process daily claims batches and upload them to the claims clearinghouse in a timely manner.
- Resolve claim edit rejections and escalate unresolved issues to the manager.
- Resolve Medicare claim rejections and returned-to-provider edits.
- Process PRC-EBO and PRC BD placement files and ensure balances are placed correctly.
- Prepare final letter notices for mailing.
- Work with billing resolution for claims rejecting in the Biller Desktop tool.
- Identify root causes of non-payment denials and work with insurance companies, patients, and allied healthcare staff to resolve issues.
- Escalate denials via the payer appeals process and obtain necessary documentation.
- Contact insurance carriers, patients, or guarantors to follow up on status of delinquent accounts.
**Requirements:**
- Functional knowledge of medical terminology.
- Two to three years' experience in patient accounting preferred.
- CPT Coding Certification preferred.
- Effective communication skills; both orally and written.
- Computer skills needed.
**Benefits:**
- Competitive compensation package.
- Benefits package.
- Opportunity to grow and develop your career in a dynamic environment.
**Salary Range: $55,000 - $65,000 per year.
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