Billing Specialist

2 weeks ago

Amherst, Massachusetts, United States Dent Neurologic Group LLP Full time
Job Title: Billing Specialist

We are seeking a highly skilled Billing Specialist to join our team at Dent Neurologic Institute. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and follow-up on outstanding medical claims.

Responsibilities:
  • Follow up and denial process for medical claims
  • Research and follow up on outstanding receivables via telephone, provider inquiry form, and written correspondence
  • Document every claim with current status of appeal, as well as call reference numbers and/or insurance representative information
  • Utilize technology to accomplish tasks efficiently and effectively, including working knowledge of computer applications such as Word, Excel, and internet browsers to access various insurance carrier websites for updates and insurance procedures/treatment policies
  • Understand payer appeal process when claims appeal efforts do not succeed, and know when and how to move to a formal appeal process
  • Work assigned insurance denial bucket, follow-up claims, and working Medicaid claims by putting them through epaces
  • Responsible for working 45, 90, 120+ day aging claims, negative balance claims, and refunds
  • Meet claim filing deadlines, print HCFA claims, and process medical expense reports
  • Sort mail appropriately and work insurance correspondence
  • Strict adherence to Dent policies, refund policies, and other accounts receivable policies is required
  • Perform other duties assigned by Billing Manager, Team Lead, Sr. Revenue Cycle Manager, or CFO
Requirements:
  • High school diploma with a minimum of 2 years of medical billing experience
  • Associates degree in medical billing and reimbursement with a minimum of 1 year of medical billing experience
  • Strong understanding of different insurance plans, contracts, and policies
  • Knowledge of other billing processes such as claims management, charge entry, payment posting, and patient financial clearance
  • Knowledge of insurance verification process, referral, and authorizations requirements
  • Knowledge of electronic claim submission
  • Understanding of patient check-in/check-out process, including working knowledge of CPT, ICD-9, ICD-10, HCPCs, and modifiers
  • Previous working experience in an outpatient medical practice
  • Medical terminology
  • Strong sense of urgency to work within deadlines
  • Ability to prioritize multiple tasks simultaneously in an occasionally stressful environment
  • Strong general office skills, including typing skills
  • Strong customer service, planning, problem-solving, and organizational skills
  • Working knowledge of Microsoft Windows programs, including Excel and Word
  • Working knowledge of general office equipment, including multi-line phone, computer, copier, calculator, and fax machines
  • Effective communication and interpersonal skills
Working Conditions:

Normal working environment, typical of most office settings. Minimal physical effort, requires some lifting of files, usually not in excess of 15 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation:

Most candidates will start within the first quartile of the pay range. Rates are commensurate with experience.

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