Medical Billing Specialist I

Location 1213 GARFIELD AVE,Harlan, IA, 51537-2071,United States Job Category Non-Clinical Employee Type Non-Exempt Full-time Contact information Description SCHEDULE: Full-time; 40 hours per week; 8:30 am - 4:30 pm; Monday - Friday The Medical Billing Specialist I is responsible for all insurance claims processing, from submission to payment according to contract. He/she is involved in the billing process and is required to perform all general office functions as well. He/she must reflect a positive, well-mannered attitude in all contacts. The Medical Billing Specialist I adheres to the mission, vision and values of Myrtue Medical Center in all aspects of job performance. Requirements High school diploma required. Medical billing training would be an asset but not necessary. Certain certifications may be required. Minimum of two years medical billing experience required. Summary Files all claims in a timely manner to all carriers, making sure they are accurate in every detail. Keeps abreast of all changes in insurance, Medicare, Title XIX, MCO, and PPO rules and regulations. Investigates denied claims. Researches and resubmits unpaid/under paid claims according to department standards. Provides timely feedback to management of identified claims issues, repetitive errors and payer trends to expedite claims adjudication. Distributes payments to accounts on date received and reviews account balances for further action. Reviews accounts with credit or small balances to determine if they should be refunded, transferred, written off or left alone. Updates notes consistently and accurately in patient accounts. Handles billing questions from insurance carriers and Myrtue Medical Center Patient Financial Advocates. Makes necessary telephone calls to insurance companies and sends patient letters in accordance with policy. Note: This is a partial list of key job areas. Contact HR for a complete job description. #J-18808-Ljbffr Jimmy Jazz