Medical Billing Specialist

Job Description

Job Description

Description:

Our Company: The accounts receivables industry plays an essential role in the local and national economy. Revco Solutions provides best-in-class Revenue Cycle management to Hospital and Physician Service clients.

Position Description: The Medical Billing Specialist completes medical insurance follow-up process accurately and timely for a designated group of accounts, by payer classification or other method of assignment; answers inquiries by mail or phone as related to that designated group of accounts.

Duties & Responsibilities:

• Analyzes, researches and prepares the insurance claims to be submitted to insurance carriers on responsible section of accounts receivable, timely and accurately, guaranteeing early turnaround of accounts receivable and maximum collections.
• Responds to all inquiries, billing denials, and other correspondence and phone requests in an efficient and effective manner.
• Attach necessary documentation when mailing claims to payors. (i e EOBs, medical records, itemized statements, etc.)
• Handle telephone inquiry, according to policy, on delinquent claims. Involves the patient as allowable under contract.
• Maintains excellent rapport with the customer in this process, maintain departmental and institutional policies and procedures.
• Resolves problem accounts independently using sound judgement and following established policies and procedures in a timely manner while meeting established productivity goals.
• Documents activity within client’s patient accounting system and EOS systems.
• Continuing education in rules and regulations governing the processing of accounts receivable by respective financial class(s).
• Maintains all reports, files, and records as needed in position.
• Locates, photocopies, faxes, analyzes EOBs to determine appropriate reimbursement by insurance carriers.
• Meets and maintains quality assurance standards as determined by management.
• Works as patient account representative as needed.
• Other duties may be assigned.

Requirements:

• 2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up
• An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
• EPIC experience preferred but not required
• Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required

What We Offer:

• Insurance/401k
• PTO/Paid holidays
• Referral bonuses