Medical Billing Specialist

Medical Billing Specialist

MDB Health Services is hiring an experienced Medical Billing Specialist to join the billing team at our headquarters in Flowood, Mississippi. This is an on-site position supporting billing for multiple locations, including Medicare Part A and Part B billing.

For more than 13 years, MDB Health Services has provided medical and psychiatric care to residents of long-term care communities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. You will join a collaborative, tight-knit team supporting the revenue cycle operations behind that care.

Responsibilities

• Perform core revenue-cycle functions, including billing, claims filing, data entry, charge entry, insurance follow-up, denial management, payment posting, billing-record review, and customer service.
• Bill and submit Rural Health Clinic claims to insurance carriers each day with a target error rate below 1%.
• Research, correct, resubmit, and appeal front-end claim edits, clearinghouse returns, rejected or denied claims, and claims receiving no response.
• Reconcile explanations of benefits and post payments, with the goal of ending each day at a zero balance.
• Maintain accurate patient, provider, practice, fee, and charge information in the billing system.
• Meet with the Billing Team Supervisor to identify and resolve reimbursement issues and billing obstacles.
• Prepare and send patient statements for copayments, deductibles, coinsurance, and other patient-responsibility balances.
• Respond to medical-record requests and requests for additional information.
• Perform other duties as assigned.

Required qualifications

• High school diploma or GED.
• At least two years of medical claims billing experience.
• Experience submitting claims and processing client invoice billing.
• Ability to abstract clinical information from medical records, charts, and other documents.
• Ability to assign appropriate ICD-10 and CPT/HCPCS codes according to established procedures.
• Knowledge of insurance billing guidelines, including Medicare, Medicaid, and other payers.
• Knowledge of payer updates, bundling and unbundling, medical necessity, coding requirements, and medical terminology.
• Proficiency with general computer applications, Microsoft Word and Excel, and EMR or EHR systems.

Preferred qualifications

• Associate degree or higher.
• One or more relevant credentials, including CCS, CCSP, CPC, CPC-P, RHIA, COC, or CPCH.

Position details

• Location: Flowood, Mississippi
• Work arrangement: On-site