Clinical Billing Specialist

5 days ago


Norfolk, Nebraska, United States Midtown Health Center Inc Full time
Job Title: Clinical Billing Specialist

Job Summary:

The Clinical Billing Specialist is a key member of the Midtown Health Center Inc team, responsible for ensuring accurate and timely billing and revenue cycle management for patients. This role requires strong attention to detail, excellent communication skills, and the ability to work collaboratively with various stakeholders.

Key Responsibilities:

  1. Post charges for all providers and ensure accurate coding and modifiers.
  2. Send claims to insurance and third-party payers, resolve edits and rejections, and post payments accurately.
  3. Work with denied claims and appeals to ensure revenue capture.
  4. Perform claim follow-up to ensure timely processing and accounts receivable management.
  5. Conduct charge reconciliation and payment audits to ensure accuracy and compliance.
  6. Provide excellent customer service to patients, addressing billing and insurance questions.
  7. Collect delinquent accounts and establish payment arrangements.
  8. Process statements and review for accuracy.
  9. Verify patient insurance coverage and work with CSR staff.

Requirements:

  • High School diploma or equivalent required.
  • Medical Billing degree/certificate preferred.
  • 1-2 years of Medical Billing Experience preferred.
  • Experience with HMOs, PPOs, Medicare, and Medicaid preferred.
  • Valid driver's license and ability to utilize own transportation for work purposes.

Working Conditions:

The Clinical Billing Specialist will work in a smoke-free and drug-free environment, with varied and extended hour scheduling as requested.

Equal Opportunity Employer:

Midtown Health Center Inc is an equal opportunity employer and welcomes applications from diverse candidates.



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