Medical Billing Specialist
About The Position
Reporting to the Revenue Cycle Manager, the Billing Specialist will process charges as part of the billing function within the organization's established policies. Performs billing functions for the various service components of the Clinics, assists other claims processors as needed; serves as back up for the Billing Manager and runs various financial reports as needed by the CFO. Consistently utilizes and facilitates effective strategies to communicate pertinent information in a timely manner. The Medical Biller works in a team-based model of care. For this position there will be an option for hybrid schedule after the initial 90 days.
Requirements
- High School diploma or the equivalent.
- Two to three years’ related experience and/or training; or equivalent combination of education and experience.
- Proficient in MS Word and Excel Software and tech savvy.
- Excellent interpersonal skills.
- Attention to detail.
- Must be able to work flexible schedules.
Responsibilities
- Codes such items as invoices, vouchers, expense reports, check requests, etc., with correct codes conforming to standard procedures to ensure proper entry into Allscripts.
- Uses critical thinking skills to interpret information furnished in written, oral, diagram, or schedule form and to follow complex dental processes
- Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly.
- Projects accurate future occurrences based on current or historic data.
- Handles all patient requests via phone or email.
- Prepares non-inventory purchase order requisitions.
- Investigates and resolves problems associated with the processing of charges.
- Prepares batch reconciliation reports.
- Assists with monthly status reports and monthly closings.
- Reconciles various accounts by identifying errors in posting or omissions by applying appropriate billing standards.
- Ensures efficiency, accuracy, and accountability of information and data.
- Performs claims processing functions in a timely and accurate manner.
- Checks “superbills” for accuracy prior to entering them into the system.
- Reviews and, as necessary, corrects data entry and billing errors prior to transmission.
- Bills payment source(s) within 48 hours of the patient’s visit.
- Posts payment checks to appropriate accounts.
- Research payment denials and resubmit for payment as necessary.
- Checks count of “superbills” against daily log to ensure that every patient’s visit-related paperwork has been received, posted, and billed
- Prepares month-end reports.
- Looks up CPT and ICD-10 codes for accurate coding.
- Performs weekly transmission of claims.
- Updates daily error reports for clinic/nurse managers.
Benefits
- Medical, Dental, Vision, Life and LTD insurance (may be eligible on the 1st of the month following date of hire)
- 12 Paid Holidays (including 1 mental health day)
- 401(k) Retirement plan (may be eligible for employer matching up to 4% following completion of 90th day of employment)
- Flexible Spending Account (FSA)
- 40 hours of sick pay (following completion of 90th day of employment)
- 120 hours of PTO accrued within the 1st year of employment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
