Billing Specialist - Guaynabo PR

Medical Billing Specialist

Location: Guaynabo

Responsibilities:

• Creation of invoices for managed medical plans; including but not limited to: FM Medical Vital, Menonita Vital, Triple S (All LOB), Humana, MMM, MCS; among others.
• Creation of invoices for secondary medical plans and foundations.
• Handling and use of billing programs.
• Bill within the required time and in the correct manner.
• Responsible for the electronic transmission or sending of paper invoices and for accepting and confirming transmitted invoices.
• Responsible for reviewing, analyzing, and correcting invoices rejected in transmission.
• Meet the productivity and metrics established in the monthly work plans.
• Meet the monthly billing close.
• In charge of investigating and resolving billing problems and referring them to the Supervisor; if necessary.
• Contact medical offices, patients, and medical plans; if necessary.
• Update medical plan circulars.
• Have up-to-date medical plan rate charts.
• File sent invoices on paper and deactivate paid cases.
• Assisting the preparation of patient payment agreements, quotes, or proof of receipt.

Required:

• High school diploma.
• Medical Billing Certification. (preferred) or equivalent to 2 years of billing experience.
• Continuing Education Certificates in the area of billing. (preferred)