Medical Billing Specialist

Job Description

Job Description

The Billing Specialist is an integral part of the Revenue Cycle at Patient Care Associates. In this position you are responsible for both administrative functions, client relations and billing processes and will work with the team to ensure the revenue cycle is handled effectively and efficiently. 

Primary Duties and Responsibilities:

• Prepare and submit clean claims to various insurance companies
• Investigate, correct and resubmit claim denials from third-party payers to ensure billing and coding accuracy
• Perform various collection actions including communicating with patients, clients and insurance companies as necessary
• Coordinate the process of patient eligibility and benefits verification through various third-party sources
• Prepare invoices, statements, reports, letters and other correspondence as required
• Answer and direct billing department phone inquiries to the appropriate team member
• Obtain pre-authorization as required for procedures
• Coordinate and follow up with Pay-per-service monthly review, and invoicing
• Other duties as required and/or assigned by management/ownership