Medical Billing Specialist

Job Duties:

• 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 different billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• 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.
• Preparing and sending patients statements.
• Updating cash spreadsheets and running collection reports.

Job Requirements

• US Healthcare experience is a plus
• RCM Experience is a plus
• English fluency is a MUST
• Excellent communication skills
• Good researcher