Medical Billing Specialist
1 week ago
We are seeking a skilled Medical Billing Specialist to join our team at Medix. As a key member of our workforce solutions team, you will play a critical role in providing exceptional service to our clients and their patients.
Key Responsibilities:
- Process and manage medical claims, ensuring timely and accurate submission to insurance providers.
- Conduct thorough research and follow-up on unresolved claims, utilizing electronic systems and communication with insurance companies.
- Review client system notes to track prior work and determine next steps, maintaining a high level of productivity and quality.
- Utilize electronic tools and communication with insurance companies to determine claim status and take appropriate actions.
- Re-bill claims electronically if necessary, resolving rejections by identifying and correcting errors.
- Determine if claims should be billed to patients or written off based on timely filing and other issues.
- Submit accounts for write-offs or patient responsibility as needed.
- Manage claim denials by correcting or re-billing claims or resolving authorization issues.
- Maintain a high level of productivity and quality, adhering to Federal and State guidelines for handling medical receivables.
Requirements:
- Minimum of 2 years' experience in medical billing.
- Experience with Medicare, Medicaid, Managed Care, Blue Cross Blue Shield, or Commercial Insurers; multiple payer types preferred.
- Proficiency in Microsoft Windows and Microsoft Office Suite.
- Familiarity with NaviNet for claim lookup and investigations.
- Ability to learn and operate multiple client computer systems.
- Strong oral and written communication skills.
- Comfortable with extended phone conversations and assertive in resolving issues with insurance companies.
- Demonstrated strong billing and follow-up skills with multiple insurance companies.
- Ability to work independently, multitask, and follow instructions effectively.
- Thorough knowledge of medical terminology, UB04 forms, 1500 forms, and medical billing systems.
About Medix:
At Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Our commitment to positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers. We are a team-oriented company that values hard work and dedication.
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