Medical Billing Insurance Specialist

Responsibilities

• Billing private insurance/secondary using computerized billing program and check billing logs for completion/errors.
• Enter billing charges, ICD-10 codes.
• Verify patients’ insurance coverage.
• Manage assigned workflows to include follow up on status of claims, denials and appeals for timely receipt of payment.
• Contact insurance companies regarding denied claims.
• Send appeals to insurance companies with appropriate documentation.
• Contact insurance companies and patients with questions related to billing.
• Answer billing inquiries from patients, staff, customers and insurance companies and resolve complaints.
• Affiliate with other duties including processing copayments, payment posting, reconciliation.
• Correct and resubmit claims after confirming transmission errors with the payer.

Skills AND Qualifications

• Commercial, Work comp, VA, Tricare, Medicare and Medicaid payor knowledge.
• (Preferred) Working knowledge of medical billing with minimum 1-2 years insurance collections experience.
• Excellent customer service skills.
• Critical thinking on every aspect of claim submission.
• Able to compose effective appeals.
• Able to work independently and as part of a team.
• Able to work in a fast paced, expanding organization.
• Proficient with EMR/PM systems, Microsoft Word, Excel, billing software, 10-key, ICD-10 coding, and medical terminology.
• Demonstrated proficiency with productivity software (Microsoft Office & Excel).
• Experience with HIPAA and compliance-sensitive environments.
• Strong attention to detail, and ability to collaborate independently and within a team.

About the role

The position is located on-site, not a remote position.

Requirements

(Preferred) 1 year of experience in Medical Billing.

Pay

N/A

Schedule

N/A

Benefits

N/A