Medical Billing Specialist
Medical Billing Specialist
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Job Description
Overview
We are seeking a Billing & Collections Specialist to join our dynamic team at the central billing office. In this role you will quickly and accurately identify claim denials apply corrections manage resubmissions and initiate secondary/tertiary billing track claim outcomes and exhaust all options to achieve target collections for home health services across multiple payer sources.
Ideal Candidate Attributes:
- Detailoriented with a keen eye for accuracy.
- Strong research and analytical skills.
- Ability and willingness to work in a fastpaced environment and collaborate with team members to meet departmental goals.
- High proficiency in communication and open to accepting feedback.
- Enjoys solving puzzles and tackling complex issues.
Responsibilities
Key Responsibilities:
Read and understand explanation of payment and other communication documents received from payers.
Place frequent calls to payers to gather status information on balances or to reprocess incorrect claims.
Research full and partial denial reasons to apply corrective actions and resolve outstanding claim balances.
Utilize available resources to review and resolve unpaid balances on Account Receivable listings as assigned.
Successfully navigate portals and systems to file timely and accurate reconsiderations and firstlevel appeals.
Complete monthly Medicaid eligibility checks and apply necessary holds and discharges.
Provide notification to client families physicians and therapists regarding eligibility status as needed.
Coordinate with and assist other departments within KidsCare.
Communicate errors and discrepancy patterns to Billing Leadership.
Follow written processes and directions regarding updates and changes received from Billing Leadership.
Provide excellent customer service to all internal team members and external clients via phone email and inperson communications.
Comply with all company policies practices and procedures.
Perform other duties as assigned.
Qualifications
Qualifications:
High school diploma or general education degree (GED).
One 1 Two 2 years of medical billing experience.
Proficiency in Microsoft Excel.
Ability to learn new concepts and ideas quickly.
Exceptional customer service skills especially in relation to internal team members.
Ability to prioritize work and multitask.
High ethical and moral standards.
Physical Demands/Working Environment:
Ability to sit at a computer for an extended period.
Light to moderate physical activity and lifting required.
Specific vision abilities required include close vision.
Moderate noise level (i.e. business office with computers phone and printers light traffic).
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
About KidsCare
Established in 2003 we are a pediatric home health agency serving children with special needs across the country. Our focus is on nursing speech physical and occupational therapy as well as providing case management for children up to 18 years of age. Founded upon the principle that patient care/therapy is most effective when it is oneonone set in a familiar environment and includes family member and caregiver involvement the organization has grown from its original roots in Dallas Texas to a multistate operation. Regardless of this growth however our original commitment of providing quality health care to every child and family serviced as never changed. If you are looking to be a part of a company whose culture is rooted in the C.A.R.E of others please review the opportunity below and be sure to visit our website at for a full listing of our open positions.
INDA
Required Experience:
Unclear Seniority
Employment Type
Full-Time
