Medical Billing Specialist

Job Description

Job Description

• Job Title- Medical Billing Specialist
• Location Milwaukee, WI 53226
• Length of assignment 3 months + possible extension
• Pay range - $23.00 / hr. to $25.50 / hr.
• Shift Monday - Friday 9 : 00 AM 5 : 00 PM

Duties -

Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines.

Researches and resolves pending and unpaid laboratory claims to resolution. Accurately interprets remittance advices regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate.

Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to correct system.

Inputs patient, insurance, and claim information into billing systems. Under the direction of Billing leadership, accurately works assigned work queues on billing systems, gathering missing or incomplete billing information when needed.

Responsible for claims follow-up. Thoroughly researches reasons for denial, short payments, overpayments, recoupments, and / or refund requests to resolution.

Professionally answers incoming phone calls (i.e. patients, clients, payers) providing accurate information regarding outstanding bill / invoice / claim or other reason for inquiry.

Takes patient / client payments over the phone where applicable. Communicates to customers if additional information or research time is required and follows up within an acceptable timeframe.

Has working knowledge of daily and payment reconciliation process. Batches incoming mail and handles patient / client / payer correspondence.

Skills : 4 years insurance billing experience. Working knowledge of medical billing practices such as contractual adjustments and cash posting is preferred.

Ability to independently resolve problems successfully on the phone with clients, patients and internal departments. Working knowledge of Epic desirable.

Training expertise and experience preferred.

Education : High School graduate

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Company Description

Pride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.

Headquartered in New York City as a top minority supplier, PRIDE Health offers a broad geographic reach with offices throughout the U.

S., India, and Brazil. Leveraging more than 20 years of experience, PRIDE has enhanced its core competency of IT staffing services by creating client-centric, cost-effective IT, and business process solutions.

PRIDE serves Client-Partners in the healthcare, IT, financial services, retail and insurance industries offering both Direct Hire and Temporary Staff of Healthcare Professionals, Vendor Management Systems, IT Hardware Procurement Services, and Business Processing Outsourcing.

Temporary, Contract, Per Diem & Direct Hire staffing solutions are only part of what we can offer our clients.

Company Description

Pride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.

r nHeadquartered in New York City as a top minority supplier, PRIDE Health offers a broad geographic reach with offices throughout the U.

S., India, and Brazil. Leveraging more than 20 years of experience, PRIDE has enhanced its core competency of IT staffing services by creating client-centric, cost-effective IT, and business process solutions.

PRIDE serves Client-Partners in the healthcare, IT, financial services, retail and insurance industries offering both Direct Hire and Temporary Staff of Healthcare Professionals, Vendor Management Systems, IT Hardware Procurement Services, and Business Processing Outsourcing.

r n r nTemporary, Contract, Per Diem & Direct Hire staffing solutions are only part of what we can offer our clients.