Medical Billing Specialist

Spokane Digestive Disease Center P.S • Spokane, WA

386d • $38,834 - $50,627

About The Position

The Medical Billing Specialist will play a crucial role in the billing department at Spokane Digestive, focusing on obtaining prior authorizations, managing accounts receivables, and performing various billing clerk duties. This position is essential for ensuring the smooth operation of the billing process and contributes significantly to the overall success of the team.

Requirements

• 1 year of insurance verification experience (preferred)
• 1 year of medical billing experience (preferred)
• 1 year of prior authorization experience (preferred)
• Proficient in Microsoft Office Suite, specifically Word, Excel, and Outlook.
• Ability to communicate effectively in writing, over the telephone, and in person.
• Attention to detail and ability to follow directions.

Nice To Haves

• Experience with G-Med software
• Knowledge of current coding and billing regulations
• Positive attitude and excellent communication skills

Responsibilities

• Obtain written documentation, track, prioritize, and report outcomes of each authorization request.
• Verify patient demographic information and insurance eligibility, including coordination of benefits.
• Review insurance payments and remittance advice documents for proper processing and payment of authorization claims.
• Research denials by interpreting the explanation of benefits or remittance codes and prepare appeals for underpaid, unjustly recoded, or denied claims.
• Maintain phone coverage to answer billing questions and process credit card payments.
• Maintain accounts receivable queues at a reasonable age-base date as defined by management.
• Review and appeal denied medical claims for bundling and medical coding-related issues.
• Process corrected claims and assist with timely turnaround for medical documentation requests.
• Provide follow-up and feedback to management regarding assignments.
• Perform data entry into G-Med, updating and correcting patient demographics and insurance when necessary.
• Notify physicians and patients of coverage decisions, forwarding reference numbers and approvals to appropriate personnel.
• Stay updated with current coding and billing regulations and compliance requirements.

Benefits

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: No Education Listed