Medical Billing Specialist

Job Description

Job Description

Pay range based on experience

Job type - Full time

We are looking for an experienced medical biller who understands that delivering exceptional client service is much more than just submitting claims and posting payments.

We are looking for someone who will tirelessly research denied claims and work hard to make sure every patient visit is paid every single time, to ensure physician services are billed in a timely manner and to obtain the highest reimbursement.

This position will manage the follow up on denied claims, claims edits, and rejections so they may be resubmitted in a timely manner.

We have a reputation for always going above and beyond for our patients and need a great biller to help us exceed expectations!

Responsibilities :

• Read and understand explanations of benefits to perform medical billing functions.
• Knowledge of CPT, Modifiers, and ICD-10 codes
• Assure all charges are entered within 24-48 hours of receipt from the physicians / providers.
• Make necessary changes to patient accounts (address, name, telephone number, and insurance changes, etc.)
• Assure all claims are sent electronically on a daily basis
• Review and work claim edits and rejections on a daily basis.
• Paper claims are sent on a weekly basis.
• Patient statements are sent on a monthly basis or weekly based on volume.
• Post all insurance and patient payments within 24-48 hours of receipt (batched by date of receipt and daily balancing is required).
• Work all denials at the time of receipt.
• Prepare and send appeals.
• Begin insurance follow-up at 31 days for claims.
• Answer telephone calls regarding all medical billing inquiries.
• Submit copies of overpaid accounts to the Office Manager for review.
• Work patient AR based on the practice policy.
• Send accounts to collection based on practice policy.
• Maintain strictest confidentiality of patient private health information (PHI) by disclosing only information requested.
• Handle all electronic processes relating to claims submission, remit posting etc.
• All practice records received should be scanned to client folders on the company network drives.
• Performs additional duties as requested by upper management.

Qualifications :

• High school graduate or equivalent.
• Requires minimum of 3 years of experience in medical billing.
• Requires minimum of 1 year A / R Follow up
• Knowledge of medical billing systems.
• Knowledge of and experience with working unpaid claims for all insurance payers, Medicare, Medicaid, Bureau of Workers Comp
• Previous experience in a customer service environment
• Ability to meet deadlines, production goals, and work under pressure
• Ability to read, understand, and follow oral and written instructions; able to follow multiple practice policies.
• Ability to professionally communicate with patients and co-workers on all medical billing inquiries.
• Ability to communicate clearly and concisely using correct grammar, correct spelling, and punctuation usage required in notes and emails.
• Ability to multitask.
• Ability to operate a telephone system.
• Knowledge of using Microsoft Products (MS Outlook, MS Teams, Word, Excel software programs), as well as G-Suite Products
• General knowledge of utilizing office equipment : computer, copier, fax, scanner.

Benefits :

• 401(k) & 401(k)matching
• Dental, health, and vision insurance
• Paid time off

Schedule :

Monday to Friday - 8 : 00-4 : 30 pm

Supplemental pay types :

Bonus opportunities

Education :

• High school or equivalent
• Some college or college graduation (preferred)

To be considered for this position :

• Send resume
• Current phone number with active voicemail and email address in your resume

Work Location : In person (Roseville & Folsom Offices)

Job Type : Full-time

Pay : $28.00 - $30.00 per hour

Schedule :

Monday to Friday

Work Location : In person