Medical Billing Specialist

Requirements

• High School Diploma or equivalent.
• 6-12 months experience in some type of clinical setting.
• Billing/coding, insurance, and/or mental health experience preferred but willing to train the right candidate.
• Excellent time management and organizational skills.
• Effective communication and customer service skills.

• Verify and appropriately document patient insurance eligibility and benefits.
• Key claims, both for insurance and self pay patients, with appropriate diagnosis and procedure codes.
• Follow up on rejected claims including appeals/reconsiderations when necessary.
• Regularly monitor unpaid claims and follow up with insurance to resolve.
• Run/post payments from patients and insurance companies and apply to patient accounts appropriately.
• Speak with patients regarding balances on account to collect payment, establish payment plans, etc.
• Submit claims to insurance companies, either electronically or by manual (paper) submission, for processing.
• Be able to do all the above with minimal supervision and while maintaining HIPAA compliance.