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)
Job Description:
We are seeking a professional who can perform the following:
- Enter patient demographic, insurance, cpt and diagnosis codes into our billing system.
- Post patient co-payments and statement balance payments.
- Work edits in the billing system to ensure clean submission of claims to the payer within a timely fashion.
- Evaluate the claim to ensure accuracy.
- Work front end rejected claims from payers for re-submission after making the necessary corrections
- Work with the billing team to learn/educate each other on how to bill each payer.
- Post insurance payments by remits and ERAs.
- Escalate issues to Manager and/or Team Leader as necessary.
- Other duties as assigned by management.
Qualifications:
- Knowledge: Medical and insurance terminology: such as cpt codes, diagnoses, and patient liability, and a full understanding of inpatient and outpatient physician billing.
- Education: High school diploma or equivalent. CPC certification. College and/or Certification Preferred.
- Experience: Minimum 4 years experience in Medical Billing/Follow-up for a billing service, hospital or doctor's office and experience with Microsoft Office suite and standard office equipment. Experience with Medisys is preferred.
- Type at least 60 wpm.
- Skills/Aptitudes: Demonstrated communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex information.
- Exceptional customer service and the ability to plan, organize and exercise sound judgment.
We offer a great work environment, a competitive salary, health insurance and other benefits
About direct billing services:
We are direct billing services, a privately held medical billing company that serves providers of varying specialties. Our company serves medical markets of all sizes and utilizes our expertise to benefit providers. We are known for our knowledge, loyalty, quality and the commitment to enhance our clients billing experience.
Our primary focus is to achieve long-term success and profitability by providing medical billing services that are quality and productive driven.
Our loyal customers are highly valued. We are committed to building sustainable relationships with them and to understanding and meeting their needs through billing services that exceed their expectations in quality and value.
Our employees are the company's most valuable assets and resources. We expect integrity, teamwork, respect, good judgment, ownership, and loyalty in the workplace.
We value the excellent reputation of our company, its products and services and most importantly its people. Our reputation is important in everything we do.
Job Type: Full-time
Benefits:
Schedule:
Experience:
Work Location: In person
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