Medical Billing Specialist

1 week ago


Las Vegas, Nevada, United States Quality Medical Imaging Full time
Job Summary

We are seeking a highly skilled Medical Billing Specialist to join our team at Quality Medical Imaging. As a key member of our billing department, you will be responsible for processing and collecting insurance claims, as well as assisting patients with inquiries regarding their healthcare insurance coverage.

Key Responsibilities
  • Prepare and submit clean claims to various insurance providers in a timely manner
  • Track and follow up on delinquent insurance collections and denials
  • Prepare and review patient statements for accuracy
  • Maintain and work accounts receivable report for billing
  • Identify and resolve patient billing complaints
  • Perform various collections, including contacting patients by phone and correcting and resubmitting claims to third-party payers
  • Responsible for posting payments and adjusting accounts per company billing guidelines
  • Maintain strictest confidentiality and adhere to all HIPAA guidelines and regulations
  • Adhere to Medicare and Medicaid guidelines
  • Work with insurance providers to expedite the collection process and ensure any pre-authorization requirements are met
  • Reviews accounts for possible assignment and makes recommendation to the Billing Supervisor, and prepares information for the collection agency
  • Responsible for facility billing
  • Responsible for processing refunds to insurance carriers. Notifies VP of refunds and creates adjustments on accounts
  • Responsible for return mail. Working with facilities, patients and insurance websites to obtain correct information
  • Responsible for verifying insurance coverage on claims prior to submitting to carriers
  • Assists intake Department on insurance questions relative to orders or insurance verification
Requirements
  • Preferred 2 or more years in a medical billing office
  • High school diploma or general education degree (GED)
  • Medical billing certification


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