Medical Billing Specialist

*Responsibilities* Responsible for accurately entering medical charges to include office, hospital and dialysis; and submitting claims to insurance carriers for payment.
Accurately posting payments from insurance companies’ electronic funds transfers and paper checks received in the mail.
Responsible for posting patient payments received in the mail and over the phone.
Responsible for reviewing all claim payments received from insurance companies to ensure proper payment posting.
Responsible for resolving credit balances and ensuring accounts are closed appropriately.
Work all types of denials received from insurance companies.
File appeals, track and resolve outstanding payment issues on denied claims, including make daily collection calls and research account issues.
Mail patient statements and assist patients with billing questions, payment plans, and insurance questions, as necessary.
Review accounts for delinquency and refer bad debt accounts over to collection agency, as necessary.
Appropriately document all correspondence with patients, insurance companies, and vendors in health information system per CBO guidelines.
Be available for and provide answers to detailed questions from other staff members within the department.
Other duties as assigned by Practice Manager.
*Qualifications* *Education* High school graduate (GED) or equivalent.
Some college preferred.
Must be proficient in ICD-10, CPT coding, medical terminology.
*Experience* Minimum of five (5) years in hospital/physician office required.
Experience in billing office functions including general insurance follow up and denials management.
Extensive knowledge and understanding of denials management process including ability to proactively address insurance denials and file appeals.
Working knowledge of Medicare/Medicaid/ Third-Party insurance processes and regulations.
Customer service skills to include telephone/receptionist duties and written communication.
Supervisory experience of 1 year preferred (not required).
*Knowledge, Skills and Abilities* Good communication skills and excellent customer service skills required in order to communicate with variety of customers (physicians, patients, insurance companies, hospital staff, other staff members) in a professional manner at all times.
Good collection skills to assist with collecting of outstanding balances.
Must be able to prioritize multiple tasks and responsibilities in order to meet deadlines.
Basic knowledge of computer/PC experience and general medical office procedures required in order to assist other workers.
Ability to think critically and prioritize multiple tasks and responsibilities.
Must be detail oriented.
Ability to perform efficiently and effectively under stress.
High level of professionalism required in appearance and speaking manner.
Must recognize importance of privacy and maintain confidentiality at all times.
Problem-solving skills sufficient to allow effective problem/conflict resolution.
*Physical Demands* Will be required to sit and/or stand for long periods of time, with high level of mental/visual concentrations.
Must have good manual dexterity to use telephone and computer for long periods of time.
Must be able to hear and understand patient/insurance companies questions.
Other duties as assigned by Practice Manager Job Type: Full-time Pay: $15.
00 per hour Benefits: * Dental insurance * Health insurance * Paid time off Schedule: * Monday to Friday Education: * High school or equivalent (Preferred) Experience: * ICD-10: 1 year (Required) * Medical Billing: 1 year (Required) Work Location: In person