Medical Billing Specialist
Job Posting for Medical Billing Specialist at Roessel Joy
A health care company is seeking to hire a Medical Billing Specialist. The ideal candidate has a strong understanding of HCPC and CPT codes, knowledge of insurance terms, medical terminology, and pricing methodologies for commercial and government billing requirements, and a high school diploma or equivalent. This company offers free parking onsite and is looking to hire ASAP!
Requirements
RESPONSIBILITIES:
- Pursue reimbursement on outstanding accounts. Maintain working relationship with insurance companies and their network providers.
- Resolve account issues with insurance carriers.
- Enlists the efforts of senior management when necessary to accelerate the collection process.
- Act as Internal and External customer interface.
- Meet defined department goals and activity.
- Performs other assigned tasks and duties necessary to support the Billing Department.
QUALIFICATIONS:
- Strong working knowledge of Article 32 and Article 31 claims processing
- 2 years of experience in Medical Collections and appeals requirement with a variety of insurance payer types
- Denial Management Experience.
- Demonstrated experience in A/R reconciliation, reduction, and reporting
- Extensive and current working knowledge of coding, billing, and collections of medical claims
- Working knowledge of HIPAA, entitlements, coordination of benefits, reimbursement schemes, patient responsibility, and contractual adjustments
- Knowledge of Medicare, Managed Care and Commercial insurances billing rules and payment regulations
- Experience with AWARDS (Foothold Technology) a plus
- Minimum Education level: High school
Salary.com Estimation for Medical Billing Specialist in Burlington, MA
$46,354 - $55,017
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