Medical Billing Specialist
7 days ago
We are seeking an experienced and detail-oriented medical billing specialist to join our team at SCA Health. As a Full-Time Medical Billing Specialist, you will play a critical role in ensuring accurate and timely submission of claims to insurance providers.
Responsibilities:
- Accurately bill CPT Codes, implants, and supplies per the UBO's Billing Protocols.
- Ability to accurately calculate implant, supply, and pharmaceutical implant mark-up and reimbursement.
- Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
- Performing accurate Time of Billing adjustments for procedures, implants, and supplies based on the appropriate contract.
- Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.
- Daily reconciliation of charges posted (Daily Summary Report, Open Transaction Report, & Daily Posting Report) and uploading these documents to SharePoint.
- Manages unbilled cases by providing ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to bill.
- Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims, and gathers appropriate medical records to send with claims sent via mail.
Requirements:
- High school diploma or GED certificate.
- Possess basic knowledge of medical terminology.
- Possess knowledge of health insurance billing.
- Possess knowledge of typing, word processing, spreadsheet and computer billing systems.
- Ability to handle confidential information.
- Ability to work independently and as a self-starter with a high level of initiative.
- Ability to multi-task.
- Strives to be professional, courteous, helpful and cooperative.
- Good computer and typing skills.
- Good communication skills, strong emphasis on excellent customer service.
Benefits:
- $19.00-$22.00/Hr. salary range.
About Us:
SCA Health represents a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge.
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