Job Description
Job Description
Description :
The Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections.
Takes initiative to research problems and determine correct action steps to resolve eligibility, billing and account problems, and working in collaboration with an outside billing company.
This may involve accessing the clinical computer system where source information resides; contacting departmental / practice representatives to obtain additional information, researching source charge entry / clinical report documents to verify information, etc.
Responsible for the posting of billing information from the clinical management system to the billing system. Assist in the preparation of reports and analyses, providing feedback and recommendations to management relating to findings.
Required : High School graduate or equivalent. At least five years medical billing experience. Must have a working knowledge of CPT and ICD-10 codes, data entry systems for 3rd party billing, various types of payers and their reimbursement and denial patterns.
Prior experience with Blue Cross / Blue Shield, Medicare, Medicare advantage plans, MVA and / or Worker s Compensation preferred.
Thorough understanding of medical terminology. Knowledge of computers, including Microsoft Word and intermediate level Excel skills.
Basic knowledge of business math.
Report-To Detail
Additional Details
- Preferred Pay Rate Range : 20-28
- Report-To Detail : 100% on Campus
- Tenure Limit : 3 Months
- FLSA Exemption Status : Non-Exempt / OT Eligible
- Required Education : High School Graduate
- Required occupational training, certifications or license(s) : Worker must provide a Letter of Good Health, signed by a physician, and an immunization record that shows compliance with HUHS Immunization Policy, to HUHS HR, on first day of assignment.
- Business Title : (No Value)
- Additional Job Details : (No Value)
- Does this position require a HUID? : Yes
- Is the worker converting from being a Harvard full-time employee (FTE)? : No
- Pre-identified candidate's information, including name, email, phone, state / city / zip & pay rate : (No Value)
- Role requires identity, I-9 and 3 reference screen (recruited) : Yes
- Role requires identity, I-9 screen (payrolled) : No
- Role requires DMV / driving history screen : No
- Role requires criminal background and sexual offender screening CORI / SORI : Yes
- Role requires criminal background screen : No
- Role requires 10-panel drug screen : No
- Role requires credit record check : No
- Role requires compliance with Immunization policy. : Yes
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