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Medical Billing Specialist

2 months ago

Dayton, Ohio, United States Southwest Ohio ENT Specialists Inc Full time
Job Summary

Southwest Ohio ENT Specialists Inc is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for managing accounts receivable, working with insurance carriers, and ensuring accurate and timely billing and reimbursement practices.

Key Responsibilities
  • Accounts Receivable Management: Identify and resolve aged/denied claims, and work with insurance carriers to ensure timely payment.
  • Insurance Carrier Relations: Develop and maintain relationships with insurance carriers to ensure accurate and timely reimbursement.
  • Billing and Reimbursement Practices: Analyze and reconcile billing and reimbursement practices to ensure accuracy and compliance.
  • Claims Investigation: Investigate claims to identify and resolve issues, and ensure accurate and timely payment.
  • Appeals and Denials: Prepare and submit appeals for denied claims, and work with insurance carriers to resolve issues.
  • Collection and Follow-up: Follow up with patients and insurance carriers to ensure timely payment and resolve any issues.
  • Medical Office Administration: Provide administrative support to the medical office, including data entry, filing, and other tasks as needed.
Requirements
  • Education: High School Diploma or equivalent.
  • Experience: Minimum 3-5 years medical billing experience.
  • Knowledge and Skills: Proficiency in medical billing software, superior organizational and problem-solving skills, and attention to detail.