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)
The Billing Specialist is responsible for all aspects of billing Medical, Dental, Behavioral Health and Optometry claims in a FQHC setting. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up, and correspondence with providers, third party payors and patients. The incumbent will assist in the clarification and development of process improvements and inquiries to maximize revenues.
Work is typically performed in an office environment, with participation in customer/community services activities as needed. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.
Knowledge, Skills, and Abilities
Qualifications/Education Requirements
High school diploma or GED certificate required. 2 years in FQHC billing or 5 or more years in physician or hospital billing of accounts receivable. Experience in medical billing/coding preferred. Excellent computer skills and a familiarity with ADA, CPT, and ICD-10 coding is required. Certified Professional Coder (CPC) certification desired.
Core Competencies
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