Medical Billing Specialist

3 weeks ago


Baltimore, Maryland, United States Quadrant Full time
Job Summary:

Quadrant is seeking a highly skilled Medical Biller Pathology to join our team. As a Medical Biller Pathology, you will be responsible for ensuring accurate and timely entry of charges, reconciling payments, and resolving credit balances. You will also serve as a lead worker and trainer for junior level staff, providing guidance and support to ensure the success of our team.

Key Responsibilities:

Enters charges accurately and timely, ensuring charges are balanced and reconciled within department guidelines.
Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
Manually posts payments, contractual adjustments, and rejections from EOBs.
Reconciles deposits against bank statements and major vendors, balancing Client/IDX daily.
Breaks down deposits by payer or FSC.
Reviews and resolves credit balance if refunds or contractual adjustments are needed, or charge correction performed.
Performs AR follow up on rejected claims.

Requirements:

3+ years of experience in a medical billing office and resolution of rejections.
Must have collections and A/R experience.
Must have strong Physician billing experience.
Must have strong appeals and denials experience.
Must have A/R follow up experience.
Must have experience handling payment refunds and adjustments.
Must have a strong understanding of EOBs.
Knowledge of Client/Athena, EPIC, or similar computerized billing system.
Knowledge of ICD-10 and CPT coding.
Knowledge of government, commercial, HMO, PPO, and other types of insurance guidelines.
High school diploma or general education degree (GED) preferred.

Quadrant is an Equal Opportunity Employer:

We are committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. We are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds, and religions according to their abilities.

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