Medical Billing & A/R Specialist

Medical Billing Specialist

Margiotti & Kroll Pediatrics is currently seeking a highly motivated, reliable, and experienced Medical Billing Specialist to join our team! The ideal candidate will have a strong background in accounts receivable within a medical office or clinical setting. This full-time position offers a competitive salary commensurate with applicable experience and excellent benefits.

Responsibilities:

• Responsible for billing, charge entry, payment posting, eligibility, coverage, patient collections, and overpayment resolution.
• Contact payers for appeals, documentation needs, reconsiderations, adjustments, claim corrections and any other activity that pertains to resolution of claim issues.
• Complete follow-up of patient accounts to maximize reimbursement.
• Monitor and execute work on assigned claims, A/R reports.
• Ensure that all patient information is accurate and complete and request any missing patient information.
• Interact with physicians to obtain billing and documentation clarification.
• Resolve posting issues, manage remittance and all correspondence.
• Maintain organized records and documentation.
• Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, and claim processing.
• Strong attention to detail and ability to follow through on assigned responsibilities.
• Work effectively with others and as a team member.
• Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.
• Utilize health IT systems to generate and interpret necessary reports.
• Handle and process medical billing tasks accurately and efficiently.
• Provide excellent customer service to patients and internal staff.
• Complete other duties/projects as assigned to help support the overall billing function.

Qualifications:

• High School Diploma/GED required. An undergraduate degree or college-level coursework in a related field is strongly preferred.
• Certification as a professional coder (CPC, AAPC) is strongly preferred.
• Excellent customer service skills and ability to communicate clearly and professionally to patients over the phone.
• Ability to multitask and stay organized with accurate notes and records.
• 2-3 years of experience in a medical office or other relevant clinical setting, with essential accounts receivable experience, preferably in Pediatrics.
• Experience with health IT systems, including running and interpreting reports, is desirable.
• Strong understanding of medical terminology, including standard abbreviations, CPT, ICD-10, and HCPCS.
• Ability to effectively interpret and post various payer EOB payments.
• Enthusiasm and patient relationship focused must be able to work with patients on the phone to resolve payment issues in a mutually satisfactory manner.
• Proven dependability and reliability.
• Discretion and professionalism - which is expected due to the exposure to sensitive operational and financial information.
• Self-motivation and flexibility to handle tasks as they arise in addition to those already scheduled.
• Demonstrated skills in problem solving, time management, and adaptability to a changing environment.
• Proficiency in the following technologies:
• E-mail (Microsoft Outlook)
• Electronic Health Records (specifically Office Practicum)
• Microsoft Excel
• Revenue Cycle Management Software (specifically Waystar)

Additional Requirements:

• Applicants must successfully pass a criminal background check.
• Obtain PA Child Abuse History Clearance.

Benefits:

• Paid time off
• Paid holidays
• 401(k) plan w/ Employer contribution
• Health insurance
• Dental insurance
• Vision insurance

The above duties and responsibilities are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of responsibilities, duties, and skills required of persons so assigned. Margiotti & Kroll Pediatrics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.