Medical Billing Specialist
4 days ago
Job Title: Medical Billing& Back Office Specialist
About the Role:
We are seeking a highly skilled Medical Billing & Back Office Specialist to join our team at Vensure Employer Services. As a vital member of our operations team, you will play a key role in ensuring the smooth and efficient processing of medical claims, patient payments, and other administrative tasks.
Key Responsibilities:
- Review clinical documentation to ensure accurate coding and billing.
- Edit modifier usage and diagnosis codes for accurate claims submission.
- Review and resolve rejected claims in a timely manner.
- Process patient payments and ensure accurate posting to claims.
- Process medical data relevant to billing, charge entries, and payment posting.
- Verify entered data by reviewing, correcting, deleting, or reentering data.
- Maintain confidentiality of all patient and financial information.
- Prepare various reports in Excel as instructed by Supervisors.
- Fulfill targets with diligence and responsibility.
- Manage Email and phone communication with clients and team members.
- Maintain operations by following compliance policies and procedures.
- Maintain customer confidence and protects operations by keeping information confidential.
- Contribute to team effort by accomplishing related results as needed.
Qualifications:
- Minimum Experience: 2 years' experience in medical billing, specifically charge entry and payment posting.
- Experience Plus: Knowledge of electronic medical records systems and experience in processing.
- The ability to effectively multi-task is a must.
- Knowledge of medical referrals, medical eligibility checks, and document management.
- Knowledge of reimbursement guidelines, CPT and ICD-10 codes, payor contracts, and plans.
- Must have good computer/typing skills.
- Need good documentation skills.
- Should have a strong understanding of Microsoft Excel, Word, and Email systems.
- Should have good command over spoken and written English.
- Attention to details and research expertise.
- A good team member with highly effective communication skills.
- Must have research skills on Internet.
- Experience, skills, proficiency in English, and sincerity at work.
- High School graduation is required, and Medical Billing certification preferred.
- Must be eligible to work in USA.
Language: English
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