Medical Billing Specialist

About the role

Complete the timely and accurate submission of claims (insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company to ensure prompt payment.

Qualifications

• High School Diploma or GED, required
• 3+ years medical billing experience, required
• Expert knowledge of the UB-04/CMS-1450 claim form, required
• Knowledge of state and Federal payment laws, required
• Experience using a 10-key adding machine, required
• Proficiency with Microsoft Office (Microsoft Word, Excel and Outlook), required
• Fluency in English; written and oral communication

Responsibilities

Essential Job Functions

• Complete daily billing process and ensure successful completion
• Review and correct all claims returned by the clearinghouse, payer, or from internal edits
• Follow-up and investigate any billing errors returned from payers; work with respective team members/supervisors for resolution
• Suggest billing component changes as necessary for payers
• Work various reports (discharge not final billed, billing exceptions, etc.) to ensure accurate classification of accounts and to ensure that all accounts have been final billed
• Complete billing requests from team members for submission of claims not received by the payer and corrected claims as identified
• Review and update demographic/guarantor/insurance data obtained in the registration process as necessary
• Track claims made by the company to ensure successful transmission and receipt

Other Job Functions

• Attend staff meetings or other company-sponsored or mandated meetings as required
• Perform additional duties as assigned
• Willingness and ability to work overtime