Medical Billing Specialist

Twin Cities Pain Clinic • Edina, MN

7d

About The Position

The Medical Billing Specialist supports the business office by collecting and posting payments from insurance companies who have unpaid claims. The Medical Billing Specialist task list includes, but is not limited to: Works with assigned insurance companies to call, obtain, and track claim status via phone and online portals. Posts insurance payments and remits information from incoming EOBs onto patient’s accounts for previous dates of service. Composes and follows up on claims appeals. Appropriately identifies, addresses, submits or processes adjustments, overpayments, and outstanding balances. Reviews and responds to payment information associated with Explanation of Benefits or Remittance Advice documents. Builds relationships with insurance carriers and representatives. Works incoming mail of payers to resolve denied payment issues or requested documentation necessary for payment review. Demonstrates an ability to assist in answering incoming phone calls through the department’s hunt group and respond to outstanding voicemails. Calls patients prior to scheduling their procedure to go over financial responsibility and answer any questions they may have. Responsible for patient financial counseling.

Requirements

• High School Diploma or GED required.
• Two years of medical insurance billing experience required.
• Strong knowledge of Medicare and Medicaid plans.
• Good writing and analytical skills.
• Exceptional problem-solving and independent thinking skills.
• Ability to effectively interpret EOB information and apply it towards outstanding charges.
• Knowledge of medical billing procedures and concepts.
• Ability to enter in medical payment information towards patient accounts.
• Ability to assist in answering phone calls and returning voicemails.
• Ability to effectively communicate and prioritize duties.
• Ability to follow oral and written instructions.
• Ability to operate standard office equipment.
• Strong computer skills.
• Ability to work well whether independently or as part of a team.
• Knowledge of principles and practices of basic office management and organization.

Nice To Haves

• Post-secondary education strongly preferred.

Responsibilities

• Works with assigned insurance companies to call, obtain, and track claim status via phone and online portals.
• Posts insurance payments and remits information from incoming EOBs onto patient’s accounts for previous dates of service.
• Composes and follows up on claims appeals.
• Appropriately identifies, addresses, submits or processes adjustments, overpayments, and outstanding balances.
• Reviews and responds to payment information associated with Explanation of Benefits or Remittance Advice documents.
• Builds relationships with insurance carriers and representatives.
• Works incoming mail of payers to resolve denied payment issues or requested documentation necessary for payment review.
• Demonstrates an ability to assist in answering incoming phone calls through the department’s hunt group and respond to outstanding voicemails.
• Calls patients prior to scheduling their procedure to go over financial responsibility and answer any questions they may have.
• Responsible for patient financial counseling.

Benefits

• A competitive benefits package including medical, dental, vision, life, and disability insurance, 401(k), paid time off, paid holidays, and HSA plan is offered.

What This Job Offers

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