Medical Billing Specialist
4 days ago
Job Summary
">We are seeking a highly skilled Medical Billing Specialist to join our team at DocGo Inc. The successful candidate will be responsible for resolving issues surrounding unbilled claims, authorizations, and insurance capture. This role requires strong analytical and problem-solving skills, as well as excellent communication and organizational abilities.
Responsibilities:
- Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance capture issues
- Contact payers to verify claim status via phone or web and follow up on unpaid claims
- Process appeals on aged insurance claims/denials
- Analyze, identify, and resolve issues that may cause payer payment delays
- Identify and resolve claim edits through understanding of billing guidelines and payer requirements
- Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
- Interpret terms for Managed Care, Commercial, Medicare, Medicaid, and Workers' Compensation when applicable
- Review all EOBs for correct payment, deductible, adjustments, and denials
- Determine the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
- Reconcile account balances and verify payments are applied correctly
- Maintain well-aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
- Follow up on appeals/corrected submitted claims
- Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
- Review and audit customer service account inquiries
- Receive inbound/outbound customer service calls
- Provide excellent customer service to all patients, Insurances & Facilities
- Review and correct all rejections in clearing house
- Perform all other related duties as assigned
Requirements:
- Must have 2-3 years of medical billing experience
- Ambulance billing experience is preferred
- Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
- Proficient in CPT and ICD-10 coding
- Ambulance/Medical billing certification or diploma is preferred
- Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) is preferred
- Excellent organizational skills and the ability to multitask in a fast-paced environment
- Ability to analyze, identify, and resolve complex issues
About DocGo Inc.
DocGo Inc. is a leading provider of healthcare services, committed to delivering high-quality care to patients across the country. We are proud to offer a competitive salary range of $40,000 - $50,000 per year, depending on experience.
Benefits:
- Medical, dental, and vision insurance
- Paid time off
- Weekly pay
- PTO and 401(k)
Why Join Us?
At DocGo Inc., we value our employees and offer a supportive work environment. We believe in promoting from within and providing opportunities for growth and development. If you are a motivated and detail-oriented individual with a passion for medical billing, we encourage you to apply for this exciting opportunity.
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