Medical Billling Specialist

DaMar Staffing Solutions•Indianapolis, IN

87d•$18 - $22•Onsite

About The Position

Medical Billing Specialist responsible for accurately billing medical procedures and services. This role involves preparing and submitting billing data and medical claims to insurance companies, making necessary changes to demographic or insurance information, and billing claims electronically and manually. The specialist will analyze coding for proper billing, request and attach clinical documentation, examine patient charges for accuracy, and compare EOBs to the current fee schedule. Responsibilities also include reviewing, correcting, and resubmitting unpaid or denied claims, following up with insurance companies on denials and rejections, and reporting unresolved disputed claims to management. Additionally, the role involves preparing bills and invoices, documenting patient account financial status and collection efforts, and completing various other job duties within the billing office as needed, while working collaboratively with other billing team members.

Requirements

High School Diploma
3+ years of experience in a health care financial setting or medical office setting
Previous prior authorization experience
Excellent customer service skills
Strong attention to details
Ability to multi-task as needed
Familiarity with an EMR
Familiarity with Microsoft Office 365
Ability to take responsibility and work under pressure
Ability to work efficiently in a busy medical office
Must be a positive team player
Proficient in medical terminology, especially radiological terms and procedures.

Nice To Haves

Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.

Responsibilities

Prepare and submit billing data and medical claims to insurance companies including any additional clinical information as necessary.
Make changes to demographic or insurance information as needed to produce accurate claims.
Bill claims both electronically and manually, as needed.
Analyze coding to ensure proper billing of claim.
Request and attach required clinical documentation as needed for processing of the claim.
Examine patient charges for accuracy and request any mission information.
Compare EOBs to current fee schedule to ensure proper processing of claim.
Review unpaid and/or denied claims. Correct and resubmit claims to payors; submit appeals.
Follow up with insurance companies, addressing denials and rejections, etc.
Report any unresolved disputed claims to management when necessary.
Prepare bills and invoices and document amounts due.
Record information about the financial status of patient accounts and status of collection efforts.
Complete various job duties within the billing office as needed.
Work collaboratively with other billing team members.