Medical Billing Specialist

2 weeks ago

Saginaw, Michigan, United States Yeo & Yeo Full time
Medical Biller Job Description

We are seeking a highly skilled Medical Biller to join our team at Yeo & Yeo Medical Billing & Consulting. As a Medical Biller, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.

Key Responsibilities:
  • Review patient bills for accuracy and completeness, and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts
  • Set up patient payment plans and work collection accounts
  • Update billing software with rate changes
  • Updates cash spreadsheet, runs collection reports
Requirements:
  • Associates Degree, Business Administration or equivalent; or the combination of education and work experience that enables the performance of all aspects of the position is required
  • Certification in Medical Billing and Coding
  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
  • Use of computer systems, software, 10 key calculator
  • Ability to code conditions and procedures using ICD-10-CM and CPT
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology likely to be encountered in medical claims
Preferred Abilities:
  • Communicate effectively in highly visible and/or adversarial situations
  • Actively pursue learning and development opportunities
  • Participate actively in all on-the-job and formal learning and development opportunities to understand role and responsibilities
  • Ability to accept and adjust to changing priorities and circumstances
Benefits and Perks:

At Yeo & Yeo, we offer a great career with industry-leading benefits, and that's why we're repeatedly ranked among Michigan's Best Places to Work.

Some of our benefits include competitive salaries; generous PDO/paid holidays, excellent medical, dental and vision plans; bonuses; referral programs; life insurance; 401(k) plan; community service opportunities; dress for your day attire; continuous feedback and so much more.

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