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Medical Billing Specialist

Medical Billing Specialist

Sentido HealthTomball, TX, US
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Job Description

Job Description

Do you have billing experience in a healthcare setting but want more benefits and growth? As a Billing Specialist, you will be responsible for submitting accurate claims for all services provided. Key duties include identifying correct coding, ensuring authorization requirements are met, and ensuring compliance with all payor guidelines to support the efficient processing of claims. We offer $18-22 an hour based on experience and we also provide a quarterly BONUS that is company wide.

Why You'll Love It Here :

  • ???? Quarterly Bonuses – Earn extra based on company profitability
  • ???? Top-Notch Benefits – Medical, dental, vision, and life insurance through CIGNA
  • ???? Future-Focused Perks – 401(k) match up to 6% with Principal
  • ???? Recharge Time – PTO starts at 80 hours and can go up to 160 hours
  • ???? Competitive Pay – Your expertise is highly valued $18-22 an hour based on experience

Join a company where collaboration and care are at the core of everything we do!

Billing Specialist

JOB DESCRIPTION

Summary / Objective

Billing Specialists are responsible for submitting clean claims via electronic or paper submission for all services provided. Essential to this position is the ability to identify correct coding, authorization requirements are met, and ensuring compliance with all payor guidelines.

Essential Functions

  • Prepare and submit accurate claims for all services of DME and supplies.
  • Verify patient demographics, insurance information, and billing codes for accuracy.
  • Confirm all sales orders for various rental and purchase items of DME and supplies by verifying all items and quantities, proof of delivery, ordering doctor, and diagnosis for accuracy.
  • Ensure all coverage limitations and validation rules are met prior to marking sales order complete and closed.
  • Ensure all tracking and proof of delivery is properly uploaded into Brightree for all sales orders confirmed.
  • Follow established billing processes and procedures.
  • Stay up to date on billing regulations and reimbursement guidelines.
  • Manage multiple tasks, prioritizing workload in an efficient manner.
  • Special Projects as assigned.

    • Preferred Education and Experience

  • Associates degree preferred.
  • Brightree experience is a plus.
  • 2 or more years of medical billing experience preferred.
  • DME Billing experience highly preferred.

    • Performance Metrics

  • All initial claims are filed within appropriate time limits set by payors.
  • All initial claims filed to correct payor with all appropriate additional payors associated to the invoice.
  • All pending orders followed up on every 48 hours and reported to supervisor if unable to confirm after one week of shipment with continued follow-up until able to confirm.
  • All orders for the month were confirmed no later than the 5th business day of the following month.

    • Supervisory Responsibility

    No

    Work Environment

    In Office

    Physical Demands

    Able to lift and carry up to 10lbs

    Position Type / Expected Hours of Work

    This is a full-time position. Days and hours of work are Monday through Friday, 8 : 00 or 8 : 30a.m. to 5 p.m. or other agreed upon schedule.

    Travel

    None

    Organizational Requirements

  • Experience recognizing the needs and concerns of individuals.
  • Effectively communicate orally and in writing
  • Ability to follow verbal and written instruction.
  • Professional telephone & email etiquette
  • Able to work in a fast-paced, self-directed environment.
  • Detail oriented with excellent time management skills.
  • Decision-making, problem resolution and creative thinking skills.
  • Responds well to multitasking while providing exceptional customer service, support, and responsiveness.
  • Should be honest, competitive, energetic, enthusiastic, professional, and systematic.

    • Other Duties

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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    Medical Billing Specialist • Tomball, TX, US

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