Medical Billing Specialist

Job Description

• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.
• Updating billing software with rate changes.
• Updating cash spreadsheets, and running collection reports.

Job Requirements

• Bachelor's degree in a relevant discipline, preferably accounting.
• 1 to 3 years experience in accounting.
• Knowledge in medical billing and working in insurance claims and healthcare is preferable.
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• Competent use of computer systems, software, and 10 key calculators.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• A calm manner and patience working with either patients or insurers during this process.
• Fluency in English is a must for this position.
• Multitasking and customer-oriented.
• Excellent communication skills.