Medical Billing Specialist ENT

Daniel J. Leeman, MD is a well established boutique Ear, Nose, Throat practice located in the Mueller Neighborhood in Austin, Texas 78723.

Our team is looking to add a Medical Billing Specialist to our growing team!

• Minimum of (1) to (3) years of billing/collections experience within a clinic or physician practice. ENT preferred.
• High school diploma required; formal billing education preferred.
• Strong working knowledge of insurance plans, including Medicare and Medicaid.
• Strong working knowledge of ICD-10 and CPT coding.
• Strong working knowledge of claim appeals, denials, and their processes.
• Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems.
• Effective time management and the ability to prioritize work.
• Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.
• Ability to read and interpret medical charts.

• Reviews and analyzes insurance claims being sent electronically on a daily basis.
• Ensures claims are sent electronically and via paper every day,
• Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission.
• Generates CMS 1500 forms, when necessary.
• Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting.
• Works closely with lead biller to facilitate the gathering of information that will insure proper response to claim denials.
• Follow-up on all unpaid claims in a timely manner.
• Generate and work aging reports weekly.
• Maintain computer office notes for clear audit trail on every account worked.
• Maintains tickler files, claims, and follow-up.
• Work delinquent reports after all correspondence is updated.
• Update patient insurance information to guarantee correct insurance billing.
• Provide customer service to patients inquiring about their patient account statements.
• Effectively communicate with patients and insurance companies regarding sensitive financial matters.
• Send via mail or fax: invoices, medical reports and patient notes to insurance companies to collect payments.
• Print aging/delinquent reports; review work accounts.
• Assist with collecting payments via phone.
• Often times helping with billing out clean claims and posting claims.

• PTO
• 401(k)
• Medical
• Dental
• Vision
• Great team culture!