Medical Billing Specialist

4 weeks ago


Lansing, Michigan, United States Quality Care Rehabilitation Professionals Full time
Medical Biller Job Description

Quality Care Rehabilitation Professionals is seeking a skilled Medical Biller to join our team. As a Medical Biller, you will play a crucial role in ensuring the smooth operation of our revenue cycle.

Key Responsibilities:
  • Monitor and manage accounts receivable balances, identifying collection issues and communicating with patients and payers.
  • Post electronic charges, patient statements, payments, and other related information to insurance plans.
  • Verify CPT, ICD-10, and modifier codes to accurately reflect documented services.
  • Collect delinquent accounts by establishing payment arrangements and submitting appeals and reconsideration letters.
  • Verify patient eligibility, coverage, benefits, and managed care authorization requirements.
  • Assist with reception duties, including answering phones, checking in patients, and handling day-to-day issues.
Requirements:
  • Minimum 2 years of experience in a fast-paced medical office environment.
  • Preferred experience billing outpatient PT, OT, Speech, and/or ABA services.
  • Working knowledge of Medicare and private insurance billing and reimbursement processes for Michigan.
  • Background and knowledge of QPP/MIPS standards of care.
  • Customer service skills with the ability to communicate effectively and maintain professional and ethical standards of conduct.
  • Ability to navigate through various insurance websites and demonstrate problem-solving skills.


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