Medical Billing Specialist
About The Position
Las Vegas Urology is seeking a patient-focused Medical Billing Specialist to support several clinics across the city. The role is responsible for posting and processing charges and managing the accounts receivable associated with those charges. It includes reviewing and importing charge batches, following up with insurance companies on denials and underpayments, and completing monthly accounts receivable reports provided by management. The specialist also responds to questions from patients, clinic staff, and insurance companies, and participates in professional development and staff meetings. The position is performed in an office environment and involves extended periods of sitting, telephone use, and computer and calculator work. Some bending, lifting, and stretching are required. The role requires working under stress and maintaining confidentiality in accordance with HIPAA guidelines and the company employee manual.
Requirements
- High school diploma or GED.
- 1–3 years of experience in medical billing or the healthcare industry.
- Experience with medical billing, collections, and coding practices.
- Familiarity with CPT and ICD-10 codes.
- Knowledge of Microsoft Office and Outlook, and ability to operate basic office equipment.
- Ability to read and comprehend EOBs, post payments to accounts, and perform various billing functions.
- Strong organization and attention to detail.
- Ability to communicate tactfully and diplomatically.
- Excellent phone etiquette and oral communication skills.
Responsibilities
- Identify charge batches for import from the EHR to the practice management system, review them for accuracy, and import them daily.
- Check each batch against appointment records to ensure all charges are captured, and reconcile front-desk copayments and payments on account.
- Complete required charge-batch follow-ups, such as faxing medication invoices to Medicare or other insurers and identifying medical records for transmission.
- Monitor and report undictated encounters to physicians and management.
- Enter laboratory charges and maintain a spreadsheet of charges to outside laboratories.
- Meet clinic timeliness guidelines for charge entry.
- Respond to requests for assistance correcting vouchers.
- Participate in professional development to stay current on healthcare practices related to coding, fee schedules, and insurance-plan changes.
- Process upfront credit card payments.
- Answer patient and front-office calls and questions.
- Handle LMC charges on a rotating, every-other-month basis.
- Review assigned EOBs and identify denied, underpaid, or incorrectly filed claims.
- Assist with payment-related projects as requested or required.
- Complete daily correspondence and monthly A/R reports provided by Billing Managers.
- Contact insurance companies to research claims, dispute denials or underpayments, submit appeals, and obtain payments.
- Answer questions from patients, clerical staff, and insurance companies.
- Prepare accounts for submission to outside collections.
- Perform collection actions, including contacting patients by phone and correcting and resubmitting claims.
- Participate in educational activities and attend monthly staff meetings.
- Conduct oneself in accordance with Las Vegas Urology's employee manual.
- Maintain strict confidentiality and comply with HIPAA guidelines and regulations.
Benefits
- Medical, dental, vision, and life insurance paid 100% for employee-only coverage, effective the first day of the month following 60 days of employment.
- 401(k) and profit sharing after one year of employment.
- PTO accrued per paycheck.
- Eight paid holidays.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
