Medical Billing Specialist reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follows up, and makes necessary revisions. Being a Medical Billing Specialist processes changes in information system to support accurate and efficient billing process and financial close. Follows proper medical and insurance claim processes. Additionally, Medical Billing Specialist typically requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Medical Billing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Billing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Pioneer Physicians Network is looking for a Billing and Collections Specialist. Previous medical office experience is preferred. EMR knowledge is a must. Working denied and rejected claims. Primary Care Billing experience preferred.
Monday through Friday 8:00-4:30 schedule. No Holidays, weekends or evenings.
Job Title: Billing Specialist - Insurance Claims Management
Supervisor: Revenue Cycle Manager, Practice Administrator
Job Description:
In addition to other duties as assigned, this position primarily exists to post payments, batching mail, scanning to RCM and provide billing support to Pioneer Physician office sites.
Qualifications:
1. Must be a high school graduate; additional education preferred, but not required.
2. Previous billing experience preferred.
3. Must have knowledge of a variety of computer systems and applications.
4. Must possess strong verbal and communication skills.
5. Must demonstrate the ability to handle stressful situations appropriately.
6. Must maintain confidentiality in all aspects of the job.
7. Must demonstrate ability to work as part of the team and with diverse groups.
8. Time management and organization skills desired.
General Duties:
General duties include, but are not limited to, the following abilities:
1. Manage all open claims for services provided at assigned locations.
2. Act as liaison with the physicians, internal and external customers.
3. Follow Billing Procedures for collecting patient balance as set forth in Billing Manual.
Address high priority actions within 1 business day and regular action items in 2 business days.
Coordinate with collection vendor on pre- collect and contingency collections.
Cooperate with Insurance companies to obtain reimbursement.
Assist billing staff and outside billing entities as needed.
8. Sort and disburse incoming mail.
Provide payment information received at the practice to the billing entity.
10. Provide data reports as requested.
11. Attend required meetings and participate in committees as requested.
12. Participate in training for process improvements or to improve performance.
13. Balance competing demands to meet goals and expectations; multitask.
14. Follow guidelines set forth in Pioneer Physicians Employee Handbook
15. Adhere to all HIPAA guidelines and regulations.
16. Maintain highest level of professionalism and courtesy in communication to all.
17. Perform other duties as assigned.
Physical Demands:
1. Requires long periods of sitting with occasional standing.
2. Manual dexterity needed for keyboard and calculator use.
3. Lengthy time looking at computer screen- occasional vision breaks as needed.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
Schedule:
Experience:
Work Location: In person
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