Remote - PFS Medical Billing Specialist I

Mosaic Life Care•Saint Joseph, MO

2d•Remote

About The Position

The PFS Medical Billing Specialist I is responsible for accurately billing claims, ensuring timely filing deadlines are met for various payers, and adhering to compliance and payer guidelines. This role involves collaboration with different departments within the revenue cycle and the organization to ensure accurate and timely claim submission. The specialist must stay current on compliance and payer policies and share this information with colleagues.

Requirements

H.S. Diploma - Required
Basic Microsoft application skills required
Excellent oral and written communication skills
Excellent organization and time management skills, and ability to establish priorities effectively
Dependable in both production and attendance
Communicates clearly with professional etiquette while using electronic fax, computer, email, Zoom, and telephone
Research and review payer policies, guidelines, and compliance guidelines
Creative problem-solving skills
Medical Terminology knowledge
Escalate issues appropriately to leadership
Ability to work independently and multi-task as needed
Interacts virtually with team to stay connected and informed
Communicate effectively in a professional manner to everyone with whom you may interact no matter the diverse background and able to work both independently and as a team to achieve department and organizational goals while promoting a positive group environment
Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax, etc..
Job requires sitting mostly, walking and standing occasionally.
Ability to analyze and interpret data, explain issues thoroughly, be adaptable in daily responsibilities and flexible based on department and organizational needs, comprehend written and spoken instructions with the ability to retain the information, must be able to organize data and have time management skills and contain the ability to collaborate to resolve any potential billing issues.
Hearing, speaking, and visual skills.

Nice To Haves

Associate's Degree - Preferred
1 Year - non-clinical healthcare experience, preferably in revenue cycle - Preferred

Responsibilities

Works daily electronic billing file and submits insurance claims timely according to payer guidelines
Collaborates within team and with external departments to resolve claim errors.
Acquires and maintains a general understanding of regulations affecting billing practices and reports any suspected compliance issues
Conducts duties in a professional and timely manner
Performs all other duties as assigned by departmental leaders