A&M Medical Services is an medical transportation company searching for an experienced medical billing specialist. Looking for someone who will communicate with insurance companies, government programs and other pay sources; coordinates with collections agency on unpaid claims; under general supervision, evaluates and interprets medical treatment records, medical diagnostic coding and billing information; performs related work as assigned.
Essential Duties & Responsibilities
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle time frame.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for insurance of patient follow-up.
- Researching and appealing denied claims.
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
- Setting up patient payment plans and work collection accounts.
- Updating billing software with rate changes.
- Updating cash spreadsheets, and running collection reports.
Proficiency in the following areas is preferred:
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Competent use of computer systems, software, and 10 key calculators.
- Familiarity with CPT and ICD-10 Coding.
- Effective communication abilities for phone contacts with insurance payers to resolve issues.
- Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
- Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
- A calm manner and patience working with either patients or insurers during this process.
- Knowledge of accounting and bookkeeping procedures.
- Knowledge of medical terminology likely to be encountered in medical claims.
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Ability to multitask.
Preferred:
Previous ambulance billing experience and demonstrated knowledge of third-party billing procedures and claim review and analysis strongly preferred.
Job Type: Full-time
Monday-Friday
1st shift 8:00am to 4:30pm
Hourly rate: based on experience
Required experience:
·Medical Office: 2 years minimum
· Word, Outlook, Excel: 3 year
· Ability to shift priorities: 3 year
· Excellent written and verbal skills: 3 year
Job Type: Full-time
Pay: Competitive
Job Type: Full-time
Pay: $19.00 - $23.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Experience:
- ICD-10: 2 years (Required)
Ability to Relocate:
- Paramus, NJ: Relocate before starting work (Required)
Work Location: In person