Medical Billing Specialist

Mann Eye • Houston, TX

1d

About The Position

The Medical Billing Specialist supports the insurance claims process by reviewing and submitting clinic charges, posting insurance payments, working denied claims, and assisting patients with billing questions. The role requires working knowledge of medical billing, insurance terminology, CPT and ICD-10 coding, and CMS guidelines. The specialist works with clinic managers, patients, doctors, coworkers, and other staff members in a team-oriented environment.

Requirements

• High school diploma or equivalent.
• Two years of medical billing experience.
• Excellent interpersonal and communication skills.
• Working knowledge of the insurance claims process and terminology.
• Ability to interpret insurance EOBs.
• Understanding of CPT and ICD-10 coding and basic CMS guidelines.
• Understanding of modifiers, including clinical and surgical modifiers.
• Understanding of basic rules and regulations of CMS and commercial insurance carriers.
• Ability to interact with patients, doctors, coworkers, and management in a team-oriented environment.
• Ability to handle patient phone calls compassionately and efficiently.
• Computer literacy, including knowledge of Microsoft Word.
• Bookkeeping skills and working knowledge of medical billing software.
• Teamwork skills.
• Detail orientation and ability to work in an active environment.

Responsibilities

• Review, edit, and accept clinic charges according to ICD-10 and CPT coding rules.
• Identify potentially denied or rejected claims and correct them before submission.
• Communicate with clinic managers to obtain additional information as needed.
• Accurately post insurance payments, including adjustment codes.
• Identify and correct claims denied by insurance, then rebill them.
• Assist patients with questions about statements, refunds, and charges.
• Take payments over the phone as needed.
• Maintain positive working relationships with MEI doctors and staff members.
• Assist coworkers as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED