Billing Specialist
About The Position
Blackstone Medical Services is a healthcare services company specializing in at-home sleep testing for sleep apnea. The Medical Billing Specialist manages the billing and reimbursement cycle for sleep testing services, ensuring accurate claim submission, appropriate insurance follow-up, and resolution of billing discrepancies to maximize revenue and maintain compliance with payer requirements. This is an in-office position in Maryland, with no remote work. The schedule is Monday through Friday, 8:00 AM to 5:00 PM, with some flexibility in start and end times. The company is seeking a motivated team player who values accuracy and accountability and contributes to the Billing Department.
Requirements
- High school diploma or equivalent.
- At least 2 years of experience in medical billing.
- Knowledge of Medicare and commercial insurance billing.
- Knowledge of ICD-10, CPT, and HCPCS codes and insurance claim processes.
- Familiarity with electronic health records (EHR) and billing software.
- Strong understanding of payer requirements, including Medicare and commercial insurers.
- Strong organizational skills, attention to detail, and problem-solving ability.
- Strong written and verbal communication skills for interacting with patients, payers, and internal teams.
Nice To Haves
- Associate’s degree or certification in medical billing/coding.
- Medical billing experience in sleep medicine and diagnostics.
- Home Sleep Testing (HST) or Durable Medical Equipment (DME) experience.
Responsibilities
- Review and submit medical claims accurately and on time.
- Verify billing information for accuracy on claim submissions.
- Maintain daily productivity and quality standards.
- Review and resolve claim rejections and billing discrepancies.
- Post payments, adjustments, and denials accurately in the billing system.
- Follow up on unpaid or denied claims and work with insurance representatives to resolve issues.
- Maintain knowledge of payer rules and guidelines specific to sleep testing and, when applicable, durable medical equipment (DME).
- Assist with appeals and provide documentation to support claim reconsideration.
- Generate and analyze billing and accounts receivable reports to identify trends and areas for improvement.
- Ensure compliance with HIPAA, payer policies, and company procedures.
- Assist with additional billing projects and departmental assignments as needed.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
