Job description

Medical Billing Specialist Job Description
Job Purpose:
Provide excellent service to our clients by being pro-active and efficient in solving claim issues. Generate revenue by submitting and collecting medical claim reimbursements from payers and patients; promptly following up on denials or underpayments; monitoring and pursuing delinquent accounts; posting and managing account payments.

Reports to: Billing Director
Responsibilities

• Prepares and submits clean claims using appropriate CPT codes, Dx codes, and modifiers to various third party payers either electronically or by paper.
• Answers questions from patients, office staff, providers and insurance companies.
• Identifies and resolves insurance and patient billing issues.
• Ensures data feeds and automation processes are working correctly
• Ensures patient payment process is working correctly
• Tracks and reports status of all open accounts beyond 30 days.
• Performs all actions necessary to achieve valid reimbursements/payments including contacting payers and patients by phone, correcting and resubmitting claims to third party payers.

• Processes payments from all payers and prepares daily activity reports.
• Participates in educational activities to improve your performance and to achieve/maintain your professional certification.
• Maintains strictest confidentiality on all company matters and adheres to all HIPAA and applicable privacy regulations
• Adhere to professional standards, MCB policies and procedures, federal, state, and local requirements, and industry standards.

Qualifications

• A self-starter with a desire to join a winning team that expects your best every day
• A can do, problem solving attitude with excellent customer service skills and the highest ethical standards
• A private home office that is ergonomically and functionally acceptable
• Medical Billing or Coding certification preferred
• Previous medical billing experience preferred
• Excellent organizational skills
• Working knowledge of electronic health records and practice management medical billing systems; knowledge of Kareo, ECW, Medent, drchrono or Clinix preferred
• Working knowledge of government and commercial payer policies like BC/BS, Medicare, Medicaid, and Auto and PIP carriers
• Excellent computer and keyboard skills with a working knowledge of Google and Microsoft Office products
• Ability to speak, read and write English fluently

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Work from home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

COVID-19 considerations:
Work is remote. If you do go into the office, you must show proof of vaccination.

Experience:

• Medical billing: 3 years (Required)

Work Location: Remote

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