Medical Biller - Insurance A/R Specialist

Medical Biller - Insurance A/R Specialist

Responsibilities/Tasks include, but not limited to:

• Work rejects/denials, send corrected claims, appeals
• Electronic claims building and submission
• Stay up to date on CPT, ICD, and LCD guidelines
• Chart and coding review
• Check eligibility and benefits
• Obtain prior authorizations
• Call patients when necessary to verify insurance information
• Provide excellent customer service to patients paying their bill or inquiring about their account
• Work to reduce backlog of unpaid claims in legacy systems
• Read and analyze EOBs and ERAs
• Payment posting
• Maintains HIPAA patient confidentiality standards for medical and financial information

Knowledge, Skills, and Abilities

• Knowledge of CPT, ICD, and LCD guidelines
• Ability to communicate clearly and concisely, both orally and in writing
• Competency with Microsoft Office and G Suite
• Excellent problem-solving skills and high attention to detail
• Adapt well to changes in processes and procedures
• Understanding of insurance plans and basic accounting
• Knowledge and understanding of the medical claims billing cycle and HCFA1500 forms, HCPCs, Modifiers
• Excellent time management and organizational skills
• Positive attitude, able to work well with a team as well as independently
• Strong knowledge of Government Programs ex: Medicare, Medicaid, Tricare, VA
• Strong knowledge of commercial policies
• Excellent customer service skills and phone manner

Qualifications:

• Certification (Preferred): CPC, CBCS, OR CCA
• Dermatology Experience (Preferred)

Education:

• High school Diploma

Please note, any offer of employment is contingent upon successful completion of a pre-employment background check.

COVID-19 Precaution(s):

• Personal protective equipment provided or required
• Temperature screenings
• Social distancing guidelines in place
• Sanitizing, disinfecting, or cleaning procedures in place

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Benefit Conditions:

• Only full-time employees eligible

Schedule:

• Day shift
• Monday to Friday

Experience:

• Medical Billing: 1 year (Required)

Work Location: In person

Southwest Dermatology & Vein is a leader in the fields of dermatology and vein surgery. We are committed to providing the utmost in customer service and creating an inviting, personal experience for each patient and the community we serve. This is cultivated through our staff and expertly trained physicians. We are continually building a team of dedicated, hard-working staff who are committed to providing our patients an outstanding level of service. We recognize that each employee brings a unique blend of experience, passion and integrity to their role. Southwest Dermatology & Vein is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive culture for our team. Benefits and 401K options are available for full-time employees.

Southwest Dermatology & Vein