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Medical Billing Specialist
2 months ago
We are seeking a highly skilled Medical Billing Specialist to join our team at Anne Arundel Dermatology. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely submission of medical claims to insurance carriers.
Key Responsibilities- Responsible for all aspects of insurance follow-up and collections, including making telephone calls and accessing payer websites.
- Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
- Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
- Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
- Review the account information and necessary system applications to determine the next appropriate work activity.
- Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone, electronic or letter contact to patients to obtain additional information as needed.
- Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
- Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
- Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
- Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
- Minimum of 3 years of experience in a healthcare AR business setting is required.
- MUST reside in the EST time zone.
- Experience with ModMed preferred.
- Experience working with multi-state payers is strongly preferred.
