Medical Billing Specialist Jobs

About The Position

Requirements

• Ability to function as a polite, cooperative team member.
• Professionalism and a positive attitude.
• Ability to always maintain confidentiality.
• Computer literacy – particularly with Microsoft Office Suite software.
• Effective verbal and written communication skills.
• Keen attention to detail and ability to work with minimal supervision.
• Excellent phone etiquette with customers
• Familiarity with insurance rules and regulations.
• High school diploma or G.E.D.

Nice To Haves

• Prior experience with medical insurance providers
• Previous HME experience
• An Associate's degree
• Bilingual skills (Spanish/English)
• Previous medical insurance billing experience
• Experience with any billing systems

Responsibilities

• Processing claims for payments from all payment sources.
• Inbound and outbound calling (to patients, insurances and customers)
• Following-up on claim denials, requests for additional information, and non-payment in a timely manner.
• Working aging accounts as determined by the Accounts Receivable Manager.
• Handling customer and 3rd party payers concerns related to billing, while maintaining confidentiality and excellent customer service.
• Assisting with developing and updating policies and procedures for efficient claims processing and increased productivity of billing department.
• Maintaining customer billing information through date change forms, note documentation, and claims management notes.
• Attending department meetings and other workshops to stay current with job responsibilities.
• Maintaining a working knowledge of computer applications as it pertains to billing functions of the organization.
• Maintaining working knowledge of reimbursement issues of equipment and supplies for third-party payment, such as pricing, codes, denial and resubmission criteria, and medical reviews.
• Performing any other duties as deemed appropriate by management.