Medical Billing Specialist Onsite

Job Description

Job Description

SynergenX is looking for a Billing Specialist to join our team ONSITE. This is not a remote position. The Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and / or paper claims, all rejections and denials, monitoring claims status, documenting related account activities, posting adjustments and collections of all commercial insurance payers.

You are responsible of the accurate flow of medical billing information. This position will ensure healthcare providers are paid for medical services rendered.

The Billing Specialist must possess critical thinking skills and understanding of commercial insurance payer payment methods to correctly record contractual adjustments.

You are responsible for demonstrating proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

This position is highly visible and requires strong written and verbal communication with the ability to prioritize, plan, and multi-task with the department.

THIS POSITION IS ONSITE MONDAY-FRIDAY 8AM-5PM IN THE HOUSTON, TX AREA. (77070) NO REMOTE CANDIDATES WILL BE CONSIDERED

PRIMARY RESPONSIBILITIES (others may be assigned) :

Coordinate and manage work of all billing and collection staff. Prepares and submits clean claims to third party payers either electronically or by payer.

Coordinate the process of patient eligibility. Understand and follow all payer rules when setting up billing rules on account to ensure accurate claims.

Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to commercial insurance payers.

Enter appropriate data into the billing system by selecting the appropriate codes, diagnosis's, modifiers to complete the charge process.

• Contact center directors regarding procedures and other services billed to ensure proper coding. Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
• Responsible for ensuring the batch process for all coded charges. Post payments in a timely manner. Work with the payers and other key A / R staff to resolve outstanding claim processing issues with a focus on over sixty-day balances.
• Research and resolve client and patient billing issues. Be prepared to account for action taken on patient accounts. Participate in meeting as instructed by management.
• Participate in personal development training and cross training as instructed by management. Ability to meet individual and team goals with minimal errors as assigned by the billing manager.
• Uphold HIPAA compliance guidelines in relation to billing, collections, and PHI information. Maintain and test internal controls related to billing and collections.

Maintain Billing software system. Reconcile billings with accounts receivable ledger.

Demonstrate continuous efforts to improve operations; decrease turnaround times; streamline work processes; and work cooperatively and jointly with internal departments to provide quality seamless customer service.

Represent department and the organization favorably and in accordance with established Company standards and associate attributes at all times.

QUALIFICATIONS :

Excellent attention to detail

Prior experience in coding / billing

Ability to multi-task and consistently meet multiple deadlines

Strong verbal / written communication skills

Ability to work in a team environment

Strong customer service orientation and ability to use good judgment

Benefits :

Life insurance, clinic closed 6 major holidays, Employee discounts with a plus one for a family member, Health, dental and vision insurance, Disability insurance, 401k with matching, PTO with yearly increases, and Tuition reimbursement!

Job Posted by ApplicantPro