Medical Billing Specialist
3 days ago
About the Role
We are seeking an experienced medical billing specialist to join our team at Triton Medical Solutions. As a medical billing specialist, you will be responsible for reviewing and submitting clean claims with appropriate modifiers to insurance companies electronically or by 1500 form. You will also verify insurance payments for accuracy and compliance with provider contracts and patient benefits.
Responsibilities
- Review and submit clean claims with appropriate modifiers to insurance companies electronically or by 1500 form.
- Verify insurance payments for accuracy and compliance with provider contracts and patient benefits.
- Perform collection actions including liaising between our clients and insurance companies by telephone and using online sites.
- Utilize A/R reporting to review and appeal unpaid and denied claims.
- Review all denials and confirm that the explanation of benefits is accurate or help resolve the issue.
Requirements
- At least 2 years of dedicated billing experience with either Health Fusion or Advanced MD.
- A dedicated work space, reliable computer, printer and high speed internet.
- A deep understanding of EOBs and know how to accurately post payments and adjustments.
- Self-directed, know how to effectively set goals, and work independently.
- Highly disciplined, detail-oriented people who can review account ledgers quickly and efficiently, as well as review payments and EOBs with detail to make sure appropriate payments and adjustments were made.
Estimated Salary: $55,000 - $65,000 per year.
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