Medical Billing Specialist

Job Description

The Medical Billing Specialist supports Health Care and Counseling at The Barnes Center at The Arch, ensuring all components of the revenue cycle are operating efficiently.

Duties include :

• Prepare, scrub and submit claims. Research accounts receivable, resolve insurance denials / rejections. Post payments into a practice management software.
• Work with campus partners including the Bursar’s Office, Cash Operations, the Budget Manager to provide information for deposits, credits and adjustments, management of accounts receivable etc.
• Work with providers, clearinghouses and insurance companies to complete credentialing and enrollment. Prepare reports for QI, compliance or auditing purposes.
• Provide staff education on health insurance, medical billing and coding guidelines, use of the credit card machine etc.

Manage updates to the fee schedule, and work with Application Specialist on workflow changes in the practice management software.

• Respond to student inquiries about medical bills. Offer presentations for students on medical billing at Syracuse University.
• Provide front desk support, including collecting insurance information, checking patients in, answering phones, and scheduling appointments.

Occasional weekend hours may be required.

Qualifications

• Associate’s Degree in Medical Billing and Coding, Health Information Technology or closely related field, or a Certificate in Medical Billing and Coding.
• Two or more years of professional experience in Medical Billing required.
• Proficient with current office technologies.
• Strong team player, with excellent customer service skills.

Job Specific Qualifications

• Understanding and working familiarity with ICD-10 and CPT codes.
• Understanding of medical terminology, and ability to use electronic medical record software.
• Knowledge of insurance billing, coding and HIPAA regulations, and basic accounting and bookkeeping.
• Ability to communicate effectively with students, colleagues and campus partners.

Responsibilities

Prepare and submit billing claims to participating insurance companies, scrubbing claims for accurate information, researching accounts receivable, following up with insurance companies for payment, and resolving insurance denials / rejections.

Post payments received via paper check, electronic fund transfer, credit card, cash etc into a practice management software.

Work closely with campus financial partners including the Bursar’s Office, Cash Operations, the Budget Manager to provide all information needed for deposits, co-pay collection, credits and adjustments, management of accounts receivable etc.

Work closely with providers, third party clearinghouses and insurance companies to ensure all credentialing and enrollments are current.

Prepare reports requested by Barnes Center leadership, including reports to be used by the Quality Improvement committee and / or for compliance or auditing purposes.

Provide timely and accurate education to clinical and clerical staff related to health insurance, medical billing and coding guidelines, use of the credit card machine etc.

Manage updates to the fee schedule, and work closely with the Application Specialist on implementing any billing related workflow changes in the electronic medical record / practice management software.

Communicate with students to respond to any questions they may have about their medical bills via phone, email or in person.

This will also include several presentations for newly arriving students to help them understand medical billing at Syracuse University.

Provide medical reception support, including collecting insurance information and checking patients in, answering phone calls, and scheduling appointments.

Occasional weekend hours may be required.

Physical Requirements Not Applicable Tools / Equipment Not Applicable