Medical Billing Specialist
4 weeks ago
Meduit is seeking a highly skilled Medical Billing/Insurance Specialist to join our team. The ideal candidate will have a strong background in insurance follow-up and a thorough understanding of patient billing, claims submission, and payer specific requirements.
Key Responsibilities:
- Reduce outstanding accounts receivable by managing claims inventory
- Communicate with patients and insurance companies regarding outstanding balances
- Gather information from patients, clients, and government agencies to register patients, gather or update information, and determine benefits and eligibility
- Request, input, verify, and modify patient demographic, primary care provider, and payor information
- Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
- Utilize various databases and specialized computer software for revenue cycle activities, including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
- Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software
- Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
- Work with Claims and Collections to assist patients and their families with billing and payment activities to increase cash flow
Requirements:
- S. Diploma/GED
- 2-3 years of Insurance Follow-up experience
- Medicare, Medicaid, and commercial payor experience required
- Must be willing to submit for a background check
- May work occasional evenings and Saturdays
- Must have high integrity
- Have a positive attitude and demonstrate teamwork
Competencies:
- Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
- Excellent verbal and written communication and interpersonal skills
- Ability to work independently with minimal supervision, within a team setting, and be supportive of team members
- Proficient with Microsoft Office
- Ability to analyze issues and make judgments about appropriate steps toward solutions
- Knowledge of patient billing claims process
- Familiarity with insurance explanations of benefits and denial codes
- Knowledge of payor programs
- Strong and professional telephone communication skills
- Experience with electronic health record or similar software program
- Knowledge of medical terminology and coding
- Knowledge of applicable federal and state regulations
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