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 Overview:
We are seeking a skilled Medical Billing Specialist focusing on ERA Denials to join our team. As a Medical Billing Specialist, you will be responsible for accurately coding and billing medical claims, ensuring timely reimbursement for services rendered. Your attention to detail and knowledge of medical billing procedures will contribute to the success of our healthcare facility.
Duties:
- Review and verify accuracy of patient demographic and insurance information
- Assign appropriate medical codes (ICD-10, ICD-9) to diagnoses and procedures
- Submit claims to insurance companies electronically or by mail
- Follow up on unpaid claims and denials, and resubmit as necessary
- Process payments received from insurance companies or patients
- Answer patient inquiries regarding billing and insurance coverage
- Collaborate with medical office staff to ensure accurate documentation and coding
- Maintain patient confidentiality and adhere to HIPAA regulations
Matching EOB data against payments received. Accurate and timely EOB and ERA posting and reconciliation. Processing adjustments and write offs against contractual agreements. Identifying non covered service denials, and collection issues to be rectified Claim denial management to quickly identify denials, re-work claims and resubmit within timely filing deadlines. Applying patient responsibility and moving remaining outstanding balances to the patients acct for processing. Understanding revenue cycle management, eligibility verification and insurance plan types.
Experience:
- Minimum of 2 years of experience in medical billing, coding, or related field
- Proficient in medical terminology, including knowledge of anatomy and physiology
- Familiarity with medical billing systems and software
- Strong understanding of insurance guidelines and reimbursement processes
- Knowledge of DRG (Diagnosis Related Group) coding is a plus
- Excellent attention to detail and organizational skills
If you are a dedicated Medical Biller with a passion for accuracy and efficiency, we encourage you to apply. Join our team and contribute to the delivery of quality healthcare services.
Job Type: Full-time
Pay: From $21.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Ability to Relocate:
Work Location: In person
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