Medical Billing Specialist II

5 hours ago

SaintBauzilledePutois, Occitanie, United States First Physicians Group Full time
Job Summary:

As a Medical Billing Specialist II at First Physicians Group, you will play a critical role in ensuring accurate and timely reimbursement for physician services. Your attention to detail and analytical skills will be essential in reviewing and verifying modifier and CPT-4 code usage to ensure proper reimbursement. You will also be responsible for analyzing remittances to ensure accurate reimbursement and denials are posted correctly. Additionally, you will calculate and post contractual allowances accurately and timely, keeping the accounts receivable (AR) to a minimum. Your excellent communication skills will be essential in interacting with FPG physicians, office managers, CBO staff, and other SMH staff to review payment posting issues. You will also be responsible for keeping abreast of and complying with all third-party regulations and ensuring all fee schedules are current. Your ability to demonstrate customer service recovery, flexibility, and adaptability will be key to success in this role.

Key Responsibilities:
  • Accurately post payments for all physician services in a timely manner
  • Review and verify modifier and CPT-4 code usage to ensure proper reimbursement
  • Analyze remittances to ensure accurate reimbursement and denials are posted correctly
  • Calculate and post contractual allowances accurately and timely
  • Keep the AR to a minimum
  • Interact with FPG physicians, office managers, CBO staff, and other SMH staff to review payment posting issues
  • Keep abreast of and comply with all third-party regulations
  • Ensure all fee schedules are current
Requirements:
  • Two (2) years of experience working with Medicare, Medicaid, and commercial billing and collections
  • Ability to analyze problems and consistently follow through to resolution
  • Ability to meet and greet public and handle difficult situations diplomatically
  • Clear and distinct speaking voice
  • Ability to operate an adding machine quickly and accurately by touch
  • Ability to use standard office equipment
  • Basic mathematical, organizational, and communication skills
  • Basic knowledge of Managed Care remittance and adjustment process
Preferred Qualifications:
  • Associate's degree or two (2) years of equivalent experience
  • Two (2) years of experience in utilizing Windows-based software applications
  • Ability to type thirty (30) words per minute for CRT and PC input
  • General knowledge of ICD-10 and CPT coding
  • Financial or banking experience

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