Medical Billing Specialist ENT

Daniel J. Leeman, MD•Austin, TX

4d•Onsite

About The Position

Daniel J. Leeman, MD is a well established boutique Ear, Nose, Throat practice located in the Mueller Neighborhood in Austin, Texas 78723. Our team is looking to add a Medical Billing Specialist to our growing team!

Requirements

Minimum of (1) to (3) years of billing/collections experience within a clinic or physician practice. ENT preferred.
High school diploma required; formal billing education preferred.
Strong working knowledge of insurance plans, including Medicare and Medicaid.
Strong working knowledge of ICD-10 and CPT coding.
Strong working knowledge of claim appeals, denials, and their processes.
Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems.
Effective time management and the ability to prioritize work.
Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.
Ability to read and interpret medical charts.

Responsibilities

Reviews and analyzes insurance claims being sent electronically on a daily basis.
Ensures claims are sent electronically and via paper every day,
Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission.
Generates CMS 1500 forms, when necessary.
Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting.
Works closely with lead biller to facilitate the gathering of information that will insure proper response to claim denials.
Follow-up on all unpaid claims in a timely manner.
Generate and work aging reports weekly.
Maintain computer office notes for clear audit trail on every account worked.
Maintains tickler files, claims, and follow-up.
Work delinquent reports after all correspondence is updated.
Update patient insurance information to guarantee correct insurance billing.
Provide customer service to patients inquiring about their patient account statements.
Effectively communicate with patients and insurance companies regarding sensitive financial matters.
Send via mail or fax: invoices, medical reports and patient notes to insurance companies to collect payments.
Print aging/delinquent reports; review work accounts.
Assist with collecting payments via phone.
Often times helping with billing out clean claims and posting claims.