Medical Billing Specialist

Medical Billing Specialist – Remote

Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols.

Responsibilities

• Learn and become proficient with the premiere pediatric system in the industry- Physician's Computer Company (PCC) Billing.
• Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance.
• Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time.
• Post payments, organize processing of patient correspondence and statements.
• Answer phone inquiries from patients regarding benefit coverage and making payments.
• Consult with the practice manager, front desk staff and providers on a regular basis to implement and maintain quality assurance, optimal billing procedures and client satisfaction.

Qualifications

• Minimum 4 recent years of medical (physician services) billing
• Knowledge of insurance payment posting, demonstrated use of CARC codes and denials
• Experienced in navigating payer websites for policies and rules, as well as conducting general online research
• Working knowledge of medical terminology, anatomy and physiology
• Strong communication and interpersonal skills
• Demonstrated comfort with computer technology
• Established proficiency in or ability to quickly become proficient in the Google Workspace (G-Suite): Gmail, Google Drive, Docs, Sheets, Meet, etc.
• Strong time management and customer service skills
• Strong attention to detail and follow through, able to multitask
• Demonstrated ability to self-manage

Ideal Characteristics

• Passion for achieving excellence
• Works with a blend of quality, speed, and accuracy
• Able to work independently and on a team
• Effective and efficient with problem solving
• Motivated learner who is able to grow through challenges
• Familiarity with the proper use of ICD-10, CPT, HCPCS coding rules
• Knowledge of Medicare's National Correct Coding Initiatives edits
• Pediatric or Primary care billing experience
• Prior experience working remotely
• AAPC, CPC medical coder certification

Additional Requirements for Remote Staff

• This position is intended for candidates who reside out of state or outside of a reasonable commuting range. Local candidates are invited to apply for an onsite Medical Billing Specialist position.
• A private and distraction-free workspace for HIPAA compliance

Benefits

• Health, vision and dental insurance
• CTO accrued from the 1st day of employment, beginning with 2 weeks
• 6 paid holidays with 5 additional paid days during Thanksgiving and winter holiday period
• 3 paid days for personal emergency
• Paid time off for volunteer community service
• Paid parental leave
• Employee retirement account with 3% matching