Medical Billing Specialist

Medical Billing Specialist

The Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections. Takes initiative to research problems and determine correct action steps to resolve eligibility, billing and account problems, and working in collaboration with an outside billing company. This may involve accessing the clinical computer system where source information resides;

contacting departmental/practice representatives to obtain additional information, researching source charge entry/clinical report documents to verify information, etc. Responsible for the posting of billing information from the clinical management system to the billing system. Assist in the preparation of reports and analyses, providing feedback and recommendations to management relating to findings.

Required:

High School graduate or equivalent. At least five years medical billing experience. Must have a working knowledge of CPT and ICD-10 codes, data entry systems for 3rd party billing, various types of payers and their reimbursement and denial patterns. Prior experience with Client/Cross, Medicare, Medicare advantage plans, MVA and/or Worker's Compensation preferred. Thorough understanding of medical terminology. Knowledge of computers, including Microsoft Word and intermediate level Excel skills.

Basic knowledge of business math.