Medical Billing Specialist

About the role

Perform the duties required to ensure that all charging, receipting, billing and collection is completed in a timely and accurate manner. Follow-up with insurance carriers and patients to ensure prompt payment of claim and patient balance is received and posted to patient account.

Responsibilities

• Review documentation for accurate charging and clean claim generation, working with providers, clinical and coding staff when questions, concerns and/or errors arise.
• Generate and submit insurance claims daily.
• Work account aging reports to monitor for timely payments from insurance carriers.
• Maintains acceptable levels of productivity in accordance with industry standards, best practices, and departmental policies and procedures.
• Complete follow-ups with insurance payers, government entities and third-party liability payers to minimize payment delays.
• Maintain all outstanding/unpaid insurance balances =/+ 90 days at a level of Respond timely to insurance carriers’ information requests to assist in claim adjudication.
• Adhere to the Hospital’s Corporate compliance Program by complying with all applicable laws, regulations, policies, and procedures.
• Attend in-service training programs, department meetings, workshops and seminars as directed by supervisor.
• Other duties which may be assigned by supervisor.

Requirements

• High school diploma
• 1-2 years of healthcare billing and/or posting office experience

Skills

• Must be able to type proficiently with previous experience in data entry.
• Must have the ability to read and interpret documents such as insurance forms, insurance company regulations and procedure manuals.
• Must be able to write routine correspondence and have effective oral communication skills.
• Must have the ability to calculate figures and amounts such as discounts, percentages and balances due.
• Must have ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Requires ability to interpret a variety of instructions furnished in written or oral form.
• Able to operate a variety of equipment such as computer, phone, calculator, and printer/copier/scanner.

Benefits

• Medical/ Dental/ Vision Insurance
• Health Savings Account
• Flex Spending Account/Dependent Care Spending Account
• 403 (b) Retirement Plan – up to 4% employer contribution
• Earned Time Off
• Life Insurance – Employer Paid
• Long-Term Disability/ Short-Term Disability – Employer paid
• Voluntary Life & AD&D
• Free 24-hour fitness center
• Hospital Indemnity
• MASA – Medical Transportation Solutions