Medical Billing Specalist

Job Description

Job Description

MEDICAL BILLING SPECIALIST
Growing Specialty Clinic seeks Medical Billing Specialist with a minimum of two years billing experience to become an integral part of our Billing/Collections team.
This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Billing Specialist. Duties include, but are not limited to: consistently file claims and follow up on unpaid claims by utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement, data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits, reconcile daily batches, patient collections, patient payment plans, assisting front desk with patient account issues.
REQUIRED SKILLS

· Experience in CPT and ICD-10 coding; familiarity with medical terminology.

· Excellent customer service skills. Be able to explain to patients about their account balance and/or EOB/ERA. Be able to interpret a patient’s insurance plan to know and explain patient responsibility.

· Strong written and verbal communication skills.

· Ability to manage relationships with various Insurance payers.

· Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

· Responsible use of confidential information.

· Perform to company standards of compliance with policies and procedures.

· Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.

· Claims submission electronically and by paper if needed..

· Verifies completeness and accuracy of all claims prior to submission.

· Accurately Post all patient/insurance payments by line item.

· Timely follow up on insurance claim denials, exceptions or exclusions.

· Meet deadlines.

· Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days. Assist in collections of aging accounts.

· Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.

· Respond to inquiries from insurance companies, patients and providers.

· Regularly meet with Director of Operations to discuss and resolve reimbursement issues or billing obstacles. Follow up on projects delegated to you and the team.

· Regularly attend monthly staff meetings and continuing educational sessions as requested.

· Perform additional duties as requested by Supervisory or Management team.

We are located in Arlington, TN and Germantown, TN along with offices in Olive Branch, MS and Oxford, MS.

Company Description

We are located in Arlington, TN and Germantown, TN along with offices in Olive Branch, MS and Oxford, MS.