Medical Billing Specialist-Revenue Cycle Management
About The Position
The primary duty is to perform functions related to medical billing, including charge entry and payment posting for our Revenue Cycle Management division. This role involves verifying patient demographic and insurance information, posting charges and payments accurately, identifying claims requiring review, approving pended charges, reconciling payment batches, correcting rejected claims, and following up on unpaid aged receivables. The specialist will also provide customer service, assist with billing system maintenance, and adhere to company policies, HIPAA regulations, and confidentiality requirements. Participation in educational opportunities and performing duties in a timely manner are also expected.
Requirements
- High School diploma or GED
- 1-2 years' experience in medical billing/collection practices and/or front desk in medical office as well as customer service
- Computer data entry
- Understanding of payment application processes
- Working knowledge of Microsoft Office
- Ability to follow instruction and adhere to company policies and procedures
- Must be a team player and willing to learn and take on new responsibilities
- Problem solving and analytical skills
- Attention to detail
- Familiarity with insurance companies (medical) coverage and benefits
- Basic medical billing knowledge
Nice To Haves
- Being aggressive and taking initiative
- Doing the job; outcomes are just as important as strategy
- Being adaptable and amenable to meet the changes of a dynamic and evolving industry
- Demonstrating humility; partnership and collaboration is who we are and how we operate
- Tapping into your innovative side; conventional is not always correct
Responsibilities
- Enter or verify patient demographic and insurance information.
- Post charges to accounts, utilizing client specific guidelines provided.
- Accurately post payments and adjustments to accounts and identify any claims requiring additional review.
- Approve pended charges for RCM clients.
- Reconcile payment batches to system reports for balancing purposes.
- Correct insurance or patient information on rejected claims and resubmit for processing.
- Follow up on unpaid aged receivables.
- Provide courteous and professional customer service to clients, patients, insurance companies and/or third parties.
- Assist with billing system maintenance, as required.
- Follow company policies, procedures and protocol; report compliance issues.
- Adhere to all HIPAA regulations by keeping all patient information confidential and protected.
- Function as STI advocate at all times.
- Participate in educational opportunities.
- Perform duties in a timely manner as required by clients and company.
- Perform other duties as assigned.
Benefits
- Full medical, dental, vision, and life insurance
- Generous employer sponsored subsidy towards employee's medical insurance premiums
- 100% premium coverage for Life AD&D and Long-Term Disability for all eligible full-time employees
- Simple Paid Time Off (PTO) options
- Competitive pay
- Advancement opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
