Medical Billing Specialist

NorthPoint Search Group•Atlanta, GA

About The Position

A growing, multi-location specialty practice is seeking an experienced Medical Billing Specialist to process 20 to 40 claims per day. Candidates must have at least five years of current medical billing experience. Surgery billing experience is a plus. The role handles insurance verification, claim submission and follow-up, patient billing inquiries and payments, and monthly billing-cycle activities while following HIPAA guidelines.

Requirements

  • At least five years of current medical billing experience.
  • Experience processing 20 to 40 claims per day.

Nice To Haves

  • Surgery billing experience.

Responsibilities

  • Prepare patient procedure estimates and verify benefits.
  • Collect and verify patient insurance information needed to complete billing.
  • Follow HIPAA guidelines.
  • Complete insurance forms accurately and in a timely manner as required by third-party payers.
  • Deposit cash and checks at the bank daily.
  • Transmit electronic claims daily to the billing company or third-party payers.
  • Research and resolve electronic claim delays within 24 hours of the exception report print date.
  • Submit paper claims and supporting documentation as required by payers.
  • Address patient complaints and requests regarding insurance billing courteously, and initiate accurate account adjustments or payment arrangements.
  • Follow billing problems through to resolution.
  • Submit secondary and tertiary insurance claims.
  • Follow up on and resubmit insurance claims as required.
  • Manage the monthly billing cycle and patient statements.
  • Reconcile with administration at month-end.
  • Distribute encounters without claims and open charts to providers weekly.
  • Collect and post copayments and other balances.
  • Update patient records and scan insurance cards, identification, and other billing-related information into the patient chart and/or EMR.
  • Follow up on patients' responsibility portions of bills.
  • Verify insurance eligibility.
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