Medical Billing Specialist reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follows up, and makes necessary revisions. Being a Medical Billing Specialist processes changes in information system to support accurate and efficient billing process and financial close. Follows proper medical and insurance claim processes. Additionally, Medical Billing Specialist typically requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Medical Billing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Billing Specialist typically requires 1-3 years of related experience, or may need 0 years of experience with additional specialized training and/or certification.
Medical Billing Specialist Job Description Template
Our company is looking for a Medical Billing Specialist to join our team.
Responsibilities:
- Appeals and denial management;
- Collect supporting or additional information on fills;
- Review CPT, ICD-10 and modifier coding for accuracy;
- Ensure claims are paid and properly balanced;
- Maintain work operations by following policies and procedures; reporting compliance issues;
- Insurance verification;
- Review payment denials and claim rejections; research and resubmit within established time frames;
- Re-bill claims as necessary;
- Insurance follow-up and resolving outstanding billing issues;
- Preparing all billing reports and maintain all billing and accounts receivable files;
- Maintain all billing information submitted and entered into billing database;
- Performing dental insurance billing and posting payments;
- Reviewing and submitting claims;
- Reconcile any billing or payment discrepancies;
- Streamline billing and collections processes.
Requirements:
- Analyze claim submission and redress claim denial;
- Working on team based projects;
- Minimum 1+ years of medical billing experience;
- Posting charges;
- Knowledge of modifiers;
- Ability to follow a schedule and meet deadlines;
- Posting patient payments;
- Allscripts experience is a plus, but other PM system experience may be acceptable as well;
- Maintain all billing information submitted and entered into billing database;
- Performing dental insurance billing and posting payments;
- Preparing all billing reports and maintain all billing and accounts receivable files;
- Ability to appropriately & effectively prioritize multiple responsibilities & deadlines;
- Streamline billing and collections processes;
- Outstanding customer service skills;
- Reconcile any billing or payment discrepancies.