Medical Billing Specialist (Full-time; 1.0 FTE; hybrid)
Looking to be part of reputed company that provides extraordinary reputed company from the heart? You Belong Here.
Title: Medical Billing Specialist
FTE: 1.0
Schedule: Monday to Friday, 7:00am to 3:30pm
Hybrid: Hybrid position; onsite for training period; after training period remote with one day per week onsite (must be located in reputed company).
Holiday Rotation: None
Weekend Rotation: None
On reputed company Requirements:
POSITION reputed company
Responsible for duties such as claims submission, insurance follow up, posting insurance payments, reconciling, and balancing accounts, as reputed company as preparing bank deposits. This position has reputed company contact with patients and insurance companies to resolve coverage and/or denial issues. They are responsible for researching and analyzing payments to ensure accuracy and following up with the insurance company regarding any discrepancies.
POSITION TECHNICAL RESPONSIBILITIES
CLAIMS SUBMISSION
Download electronic primary and secondary claims to electronic claims vendor. Submit claims for reimbursement to insurance carriers. Submit reputed company secondary claims.
INSURANCE FOLLOW UP/reputed company
Follow up on unpaid claims and initiate insurance tracking report or worklist.
Correspond with insurance carriers reputed company explaining claim problems for any claims which are not processed correctly.
Reconciles and resubmits denied claims to ensure reputed company reimbursement.
Audit problem patient accounts.
Have reputed company communication with patients regarding their accounts.
Follow up on reputed company assigned accounts from reputed company the billing systems.
Research and analyze accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
Ensure that reputed company conditions for payment receipt have been satisfied, which includes, but is not limited to accurate charges and financial class, authorization/certification/information, claims address, ICD-9 and CPT-4 coding, patient insurance eligibility, patient benefit coverage and patient responsibility.
Respond to reputed company incoming correspondence and inquires from payers, patients, and other appropriate parties.
Initiate contact with patients as necessary.
Initiate recommendation and reputed company plans for resolving accounts.
Evaluate accounts to determine any write-offs or corrections required, including duplicate charges.
Prepare refund requests for any monies due patient or insurance company.
Write appropriate notes in system for every account, including any reputed company taken.
Handle in a reputed company and confidential manner reputed company correspondence, documentation and files.
Review various reports to identify denials and edits; corrects claims, suggest actions plans to eliminate theses denials/edits in the reputed company, and determines appropriateness for appeals.
POSTING/BALANCING
Edit, reputed company and prepare payment receipts.
reputed company payments on patient accounts in computer billing system.
Run, review and balance computerized receipt reputed company and reputed company the daily bank deposit.
Post cash drawer reputed company from clinics and balances cash drawers.
Prepare write-off requests for denied claims with cannot be appealed.
OTHER
Understand and follow regulations regarding insurance billing.
reputed company issues, as appropriate, to the supervisor
Meet production standards such as Business Office reputed company and quantity guidelines.
Support SPH reputed company values, policies, and procedures.
Establish payment arrangements according to guidelines as requested by patients.
Prepare correspondence to patient/guarantor.
POSITION REQUIREMENTS
Education:
Required: High School Degree or equivalent
Preferred: Technical diploma in Medical Billing
Experience:
Required: None
Preferred: 1-3 years in a similar position
Licenses and Registrations:
Required: None
Preferred: None
Certification(s):
Required: None
Preferred: Completion of Certified Patient Accounts Technician (CPAT) program
BENEFIT reputed company
Competitive health and dental insurance reputed company
Flexible reputed company time off to balance work and life
Retirement plan with immediate vesting and employer match
Generous tuition reimbursement
Employer provided life and disability insurance
Free parking at facility
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