Medical Billing Specialist

Las Vegas Urology LLP • Las Vegas, NV

6d

About The Position

Las Vegas Urology is seeking a patient-focused Medical Billing Specialist to support several clinics. The role is responsible for posting and processing charges and managing the accounts receivable associated with those charges. The specialist follows up with insurance companies regarding denials and underpayments, handles patient and staff billing questions, and completes monthly accounts receivable reports provided by management. The position also involves charge entry, payment processing, claim research and appeals, collections activity, and maintaining confidentiality in accordance with HIPAA guidelines.

Requirements

• High school diploma or GED.
• 1–3 years of experience in medical billing or the healthcare industry.
• Experience in 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 understand EOBs, post payments to accounts, and perform various billing functions.
• Well organized and detail oriented.
• 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; review front-desk copayments and payments on account and ensure they balance.
• Complete required charge-batch follow-ups, such as faxing medication invoices to Medicare or other insurers and identifying medical records for transmission.
• Monitor undictated encounters and report them to physicians and management regularly.
• Enter laboratory charges and maintain a spreadsheet of charges to outside laboratories.
• Meet clinic guidelines for timely charge entry.
• Respond to requests for assistance with 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 explanations of benefits (EOBs) and identify denied, underpaid, or incorrectly filed claims.
• Assist with payment-related projects as requested or required.
• Complete correspondence daily and monthly accounts receivable 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 work in accordance with Las Vegas Urology's employee manual.
• Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.

Benefits

• Medical insurance paid 100% for employee-only coverage, effective the first day of the month following 60 days of employment.
• Dental insurance paid 100% for employee-only coverage, effective the first day of the month following 60 days of employment.
• Vision insurance paid 100% for employee-only coverage, effective the first day of the month following 60 days of employment.
• Life insurance paid 100% for employee-only coverage, effective the first day of the month following 60 days of employment.
• 401(k) after one year of employment.
• Profit sharing after one year of employment.
• Paid time off accrued per paycheck.
• Eight paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED