Medical Billing Specialist

Job Description

Job Description

This is an opportunity to join a growing and well-respected practice! Las Vegas Urology is currently seeking a patient focused Medical Billing Specialist to join its team. Our staff works together in supporting several clinics across the city and have been doing so for decades.

Benefit package includes:

• Medical, Dental, Vision & Life Insurance paid 100% for employee only, effective the first day of the month following 60 days of employment
• 401K and Profit Sharing after 1 year of employment
• PTO, accrued per paycheck
• 8 paid holidays

Summary of position: Responsible for posting, processing charges, and handling the A/R that corresponds to the charges being entered. Follow up with insurance companies on denials and underpayments and work monthly account receivable reports provided by management.

Job Duties: (This list may not include all the duties assigned)

• Identify charge batches for import from EHR to PM system, review for accuracy and import batch daily.

• Check each batch against appointment records to ensure capturing of all charges, review payments (copayments, payments on account) taken at front desk and ensure they balance.
• Perform all required follow-ups for each charge batch (fax medication invoices to Medicare and other insurance companies, identify medical records for transmission, etc.) as needed.
• Monitor and report undictated encounters to physicians and to management on regular basis.
• Enter lab charges and maintain spreadsheet of charges to outside laboratory.
• Meet clinic guidelines for timeliness of charge entry.
• Respond to requests for assistance in correcting vouchers.
• Participate in professional development efforts to ensure currency in healthcare practices relating to coding, fee schedules and changes in insurance plans.
• Process Credit Card payments that are ran upfront.
• Answer patient/front office calls and questions.
• Handle LMC charges (rotating every other month).
• Review assigned explanation of benefits (EOB's) and identify denied claims and claims that have been underpaid or filed incorrectly
• Assist with payment related projects as requested/required.
• Work and complete correspondence daily and complete monthly A/R reports provided by Billing Managers.
• Call insurance companies to research claims, dispute denials and/or underpayments, submit appeals and obtain payments.
• Answer questions from patients, clerical staff, and insurance companies.
• Prepare accounts that need to be submitted to outside collections.
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims.
• Participate in educational activities and attend monthly staff meetings.
• Conduct self in accordance with Las Vegas Urology's employee manual.
• Maintain strictest confidentiality; adhere to all HIPAA guidelines and regulations.

Education :

• High School Diploma or GED
• 1-3 years' experience in a medical billing /healthcare industry

Performance Requirements:

• Experience in medical billing/collection and coding practices.
• Familiar with CPT/ICD-10 codes.
• Knowledge of Microsoft Office, Outlook, and the ability to operate basic office equipment.
• Ability to read and comprehend explanation of benefits (EOBs), post payments to account, various billing functions.
• Must be well organized and detail oriented.
• Ability to talk to people without being rude; using tact and diplomacy.
• Excellent phone etiquette and oral communication skills.

Physical Demands: Working in an office environment and requires sitting for a long period of time. Some bending, lifting, and stretching required. Working under stress and use of telephone required. Manual dexterity required for use of calculator and computer keyboard. While performing the duties of this job, the employee is regularly required to talk or hear. Position requires the ability to work in stressful situations.