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)
DEPARTMENT: Business Office
REPORTS TO: Business Office Manager
SALARY: D.O.E.
JOB TYPE: Full-time/Permanent/Non-Exempt
OPEN DATE: April 9, 2024
CLOSE DATE: Until Filled
Incumbent will review and make necessary changes to daily Medical Claims in RPMS and AccuCare White Buffalo Recovery software when needed. Otherwise, incumbent will work 3rd Party rejected and denied claims 3 days a week and submit claims plus work denials for White Buffalo Recovery Center 2 days a week.
Batch and review claims when needed for Arapahoe, Riverton and Ethete clinics, otherwise will work 3rd Party rejected and denied claims for all 3 clinics three days a week and White Buffalo Recovery Center two days a week.
Check all Professional and Institutional claim rejections on a daily basis in the clearinghouse and make corrections if needed then upload to the 3rd Party payer.
Maintains standards to ensure systematic, consistent, and timely collection follow-up.
Makes follow-up calls to various 3rd Party Payers with outstanding balances over 30 days.
Open to being cross trained to other functions within the business office and provide support in these areas as needed.
Manages time well, being on time, thinking of better ways to do things.
Minimum Qualifications
Preferred qualifications
Specialized knowledge
Organization
Attention to detail.
May be exposed to noise in the office
Prolonged or considerable sitting and/or standing.
Lifting boxes or medical records totaling up to 35 lbs.
Able to move about inside office to access file cabinets, office machinery.
Climbing Stairs
Competitive wages (no state or local tax)
18 different medical insurance packages
Dental and vision insurance
Life insurance
Retirement plan with 4% match
Leave Benefits
For information or questions, please contact Human Resources at 307-856-9281 ext. 367.
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