Medical Billing Specialist

JOB SUMMARY:

The Medical Billing Specialist is a full-time position that reports to the Billing Team Lead of a primary/urgent care practice, and is responsible for billing/coding and submitting claims; following up on insurance claims, including resolving issues with insurance carriers and submitting appeals as needed; posting insurance and patient payments; collecting accounts receivable; and all other daily tasks related to a medical billing office.

ESSENTIAL DUTIES and RESPONSIBILITIES include the following, as well as any other duties and responsibilities that may be assigned:

· Verify accuracy of patient demographics and insurance information/eligibility on claims to be billed

· Perform coding activities using ICD 10 and CPT codes to ensure successful processing and payment of claims; responsible for both electronic and manual claims submissions

· Resolve rejected, denied and no-response claims in a timely manner

· Post insurance payments from paper and electronic EOB’s

· Post patient payments, reconcile patient accounts and collect outstanding patient balances

· Assist Front Desk team with insurance related issues, as needed

GENERAL RESPONSIBILITIES:

· Performs all duties and responsibilities in an efficient, team-oriented manner

· Conducts self in a manner that reflects the company’s Mission and encourages others to do the same

· Observes strict patient confidentiality in dealing with patients

EDUCATION and/or EXPERIENCE:

· Associates degree, preferably in Business Administration or related field; high school or equivalent degree required

· Two years medical coding/billing experience in an urgent/primary care setting preferred

SKILLS and ABILITIES:

· Must be detail oriented, conscientious and able to follow through

· Ability to deal in an organized manner with problems involving multiple variables within the scope of the position

· Ability to communicate effectively in writing, over the telephone, and in person with physicians, patients, insurers, team members and staff

· Ability to understand mathematical concepts and use fractions and percentages.

· Skill in establishing and maintaining effective working relations with other team members, employees outside the team and patients

· Ability to apply common sense understanding to carry out detailed written or oral instructions

· Ability to recognize, evaluate, solve problems and correct errors

· Ability to work under minimum supervision and demonstrate strong initiative

· Proficient in using a Practice Management system and Microsoft Office (including Outlook, Excel, Word and Teams)

Job Type: Full-time

Pay: $18.00 - $19.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Medical office
• Office

Work Location: In person