Medical Billing Specialist

MDB Health Services • Flowood, MS

3h • Onsite

About The Position

This is an in-house medical billing position located at our company headquarters in Flowood, MS, responsible for billing for multiple locations. The role involves billing Part A and Part B and joining a tight-knit and great billing team.

Requirements

• 2+ years medical claims billing
• High School Diploma or GED Equivalent
• Submit both paper and electronic claims as well as client invoice billing
• Abstract clinical information from a variety of medical records, charts, and documents
• Assign appropriate ICD-10 and/or CPT/HCPCS codes to patient records according to established procedures
• Interpret & implement specified insurance billing guidelines
• Knowledge of Payor updates as it relates to bundling and unbundling charges, medical necessity, and general coding specifications
• Knowledge of Insurance billing and system guidelines including Medicare, Medicaid, and other payors
• Knowledge of Medical terminology likely to be encountered in medical claims
• General computer skills
• Microsoft Word and Excel
• Navigating EMRs or EHRs

Nice To Haves

• Associates degree or higher
• Certification in one of the following: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCSP), Certified Professional Coder (CPC), Certified Professional Coder Payer (CPC-P), Registered Health Information Administrator (RHIA), Certified Outpatient Coder (COC/CPCH)

Responsibilities

• Generally, duties include core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, billing records review, and customer service
• Daily bill and submit Rural Health Clinic claims for all insurance companies with a goal of <1% errors
• Daily research and resubmit corrections and appeals of front-end claims edits, clearinghouse returns, rejected or denied claims, and no response claims
• Daily reconcile EOBs to post payments so that every day ends with a zero-balance
• Daily maintain and update billing software information, i.e., patient information, provider information, practice information, fee/charge information, etc.
• Routinely meet with the Billing Team Supervisor to discuss and resolve reimbursement issues or billing obstacles
• Routinely prepare and send patient statements for service amounts such as co-payments, deductibles and coinsurance
• As requested, reply to medical records requests, complete additional information requests, etc.
• Perform other duties as assigned

What This Job Offers

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