Medical Billing Specialist

Job Title:

Medical Billing Specialist

Department:

Billing & Collections

Overtime Status:

Non-Exempt

Position reports to:

Director of Revenue Cycle

Location of position:

Wichita, KS

Position Summary:

The Medical Billing Specialist works in completion of billing department tasks, including, but not limited to, using coded data to produce and submit claims, working directly with insurance companies, healthcare providers, and patients to process claims, reviewing and appealing unpaid and denied claims, answering patient billing questions, and handling collections on unpaid accounts.May perform other duties as assigned or requested.

Responsibilities:

• Post patient and insurance payments (including electronic posting)
• Work primary and secondary claim denials
• File Medicare appeals and redeterminations
• Process accounts for collections
• Prepare refunds
• Perform end-of-day process
• Answer phone calls and assists patients with questions
• Obtaining authorization and referrals for surgeries (elective and urgent) and procedures
• Prepare patient letters with billing estimates
• Follow-up on surgery payments
• Prescription Pre-authorization
• Work insurance follow-up and updates
• Process overpayments for recoupment or refund
• Statement processing
• Policy updates
• Communicating pertinent policy updates to staff
• Other duties as requested and assigned

Qualifications:

High school diploma; some college preferred

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Skill in appropriate documentation and records maintenance. Skill in usage of PC, multi-line phone, copier, fax, and printer. Ability to interpret, adapt and apply written guidelines and procedures to standard work practice. Ability to speak effectively before individuals and/or groups. Able to hear average or normal conversations and receive ordinary information. Movements frequently and regularly required using the wrists, hands, and/or fingers. Using primarily just the fingers to make small movements such as typing, picking up small objects, or pinching fingers together. Average, ordinary, visual acuity necessary to prepare or inspect documents or products, or operate machinery. Prolonged periods of sitting, standing or walking may be required, should be able to transport approximately 0-25lbs of charts or files.

Working Conditions:

Fast paced clinical office environment Contact with Physicians, staff, patients, outside medical practices and insurance companies

Wichita Urology Group

For more than 80 years, Wichita Urology Group (WUG) has been dedicated to providing comprehensive, patient-centered urologic care to individuals and families throughout Kansas and the surrounding region. As one of the largest and most established urology practices in the Midwest, our team of boardcertified physicians, advanced practice providers, and highly trained clinical staff offer expert diagnosis and treatment for a full spectrum of urologic conditions. Our providers combine decades of experience with advanced technology and innovative treatment options to deliver exceptional outcomes while maintaining a personalized approach to care. From routine urologic services to complex surgical procedures, cancer treatment, men's health, women's pelvic health, kidney stone management, and advanced diagnostic imaging, we are committed to helping patients achieve the highest quality of life. At Wichita Urology Group, our mission is to provide compassionate, evidence-based care in a welcoming environment where patients feel heard, respected, and supported throughout their healthcare journey. Through continuous investment in technology, clinical excellence, and patient education, we remain committed to advancing urologic care for the communities we serve.

Wichita Urology Surgery Center

Wichita Urology Surgery Center (WUSC) is a state-of-the-art ambulatory surgery center dedicated exclusively to providing high-quality outpatient urologic care. Designed with patient comfort, safety, and efficiency in mind, WUSC offers a convenient alternative to hospital-based procedures while maintaining the highest standards of clinical excellence. Our experienced surgeons, anesthesia professionals, nurses, and surgical staff specialize in a wide range of urologic procedures utilizing advanced technology and minimally invasive techniques. By focusing exclusively on urology, our team is able to deliver exceptional expertise, streamlined care, and outstanding patient outcomes. Patients benefit from a personalized surgical experience, reduced wait times and the comfort of a dedicated team and care. Our commitment to safety, quality, and patient satisfaction is reflected in every aspect of the surgical experience—from pre-operative education through post-operative recovery. At Wichita Urology Surgery Center, we are proud to provide comprehensive, coordinated care that ensures patients receive the highest level of treatment. Together, we are committed to delivering exceptional surgical care with compassion, innovation, and excellence.