Medical Billing Specialist

Wichita Urology Group•Wichita, KS

8d•Onsite

About The Position

The Medical Billing Specialist works in the Billing & Collections department to complete billing tasks. This includes using coded data to produce and submit claims; working with insurance companies, healthcare providers, and patients to process claims; reviewing and appealing unpaid and denied claims; answering patient billing questions; and handling collections on unpaid accounts. The position may also perform other duties as assigned or requested. The role is based in Wichita, Kansas, in a fast-paced clinical office environment and involves contact with physicians, staff, patients, outside medical practices, and insurance companies. The position is non-exempt and reports to the Director of Revenue Cycle.

Requirements

High school diploma.
Skill in appropriate documentation and records maintenance.
Skill in using a PC, multi-line phone, copier, fax, and printer.
Ability to interpret, adapt, and apply written guidelines and procedures to standard work practice.
Ability to speak effectively before individuals and/or groups.
Ability to hear average or normal conversations and receive ordinary information.
Ability to perform frequent and regular movements using the wrists, hands, and/or fingers, including fine finger movements such as typing, picking up small objects, or pinching fingers together.
Average, ordinary visual acuity necessary to prepare or inspect documents or products, or operate machinery.
Ability to tolerate prolonged periods of sitting, standing, or walking, as required.
Ability to transport approximately 0–25 pounds of charts or files.

Nice To Haves

Some college preferred.

Responsibilities

Post patient and insurance payments, including electronic posting.
Work primary and secondary claim denials.
File Medicare appeals and redeterminations.
Process accounts for collections.
Prepare refunds.
Perform end-of-day processes.
Answer phone calls and assist patients with questions.
Obtain authorizations and referrals for elective and urgent surgeries and procedures.
Prepare patient letters with billing estimates.
Follow up on surgery payments.
Handle prescription pre-authorizations.
Perform insurance follow-up and updates.
Process overpayments for recoupment or refund.
Process statements.
Update policies and communicate pertinent policy updates to staff.
Perform other duties as requested and assigned.