Medical Billing Specialist Needed

FIRST PHYSICIANS•West Odessa, TX

27d•Onsite

About The Position

The Billing Specialist keeps our revenue cycle running smoothly by making sure claims are accurate, submitted on time, and paid. You’ll work with insurance companies, employers, and patients. You will also support billing for our other clinic locations in Odessa, all under First Physicians.

Requirements

High school diploma or GED
Working knowledge of CPT, ICD-10, and HCPCS coding
Experience with insurance claims, denials, and appeals
Strong attention to detail and organization
Friendly, professional, and patient with patients and payers
Comfortable with computers, spreadsheets, and billing software

Nice To Haves

2 or more years of medical billing experience
Billing or coding certification
Experience with Athena (athenahealth)
Experience billing workers’ compensation and occupational medicine services
Experience with Medicare care management services
Experience in a primary care or urgent care setting
Bilingual in English and Spanish

Responsibilities

Prepare, review, and submit claims to Medicare, Medicaid, and commercial insurance in Athena
Work claim rejections and denials, correct errors, and submit appeals
Post insurance and patient payments, adjustments, and EOBs/ERAs
Follow up on unpaid and aging claims to keep accounts receivable current
Bill workers’ compensation claims and follow Texas workers’ comp billing rules
Bill employers for DOT physicals, drug screens, and other occupational medicine services
Verify patient insurance eligibility and benefits when needed
Review visits for correct CPT, ICD-10, and HCPCS codes and modifiers, and work with providers to fix documentation or coding issues
Answer patient billing questions kindly and clearly, and set up payment plans when needed
Prepare and send patient statements and handle collections according to practice policy
Run billing reports and help track key numbers such as denials, collections, and days in A/R
Keep up with payer rule changes and share updates with the team
Protect patient information and follow HIPAA guidelines