Medical Billing and Accounts Receivable Specialist

I Am Boundless, Inc.•Worthington, OH

13d•Remote

About The Position

Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies. Strong attention to detail, knowledge of medical terminology, and proficiency in billing software are essential for success in this role.

Requirements

High school diploma required
Proficient in Microsoft 365
Driver’s license and insurable driving record, if applicable.
Oral and written communication
Professionalism
Organizational skills
Ability to stay focused
Ability to prioritize multiple tasks
Computer skills
Professional phone etiquette

Nice To Haves

college coursework a plus
1-3 years’ experience in medical billing and collections, as well as insurance verification.
Medical Coding Certification

Responsibilities

Verifies insurance benefits and confirm patient eligibility
Obtains prior authorization for services as required
Reviews clinician entered charges entered for accuracy before generating claims
Prepares and submits claim files
Posts insurance and clients payments accurately and in a timely manner
Analyze and address ERA/EOB denials by taking appropriate corrective action
Manage accounts receivable and actively pursue outstanding balances
Oversee client collections to ensure timely payment
Handle insurance appeals for denied or underpaid claims
Stay informed and compliant with payor reimbursement policies, procedures, and guidelines
Monitor and apply contracted fee schedules to ensure accurate expected payment
Foster positive communication and relationships with patients, clinicians, physicians, third-party payors, and other Boundless staff)to ensure exceptional customer service
Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc.
Other duties as assigned.