Medical Billing Specialist

Medical Billing Specialist Eye Medical Center of Fresno, Inc. - 3.4 Fresno, CA Job Details Full-time $39,520 - $52,000 a year 3 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program 401(k) matching Employee discount Life insurance Qualifications Revenue cycle management Appeals EDI EHR systems Achieving HIPAA compliance Phone communication Medical coding Maintaining patient confidentiality Writing skills Insurance claim appeals processing HIPAA Mid-level High school diploma or

GED EMR/EHR HCPCS

Medical billing Data entry Medical insurance appeals management Payment posting in medical billing systems Organizational skills Phone call management Medical terminology 2 years Communication skills Technical Proficiency Time management

Full Job Description Position:

Medical Billing Specialist Primary Duties:

With precision and accuracy, prepare and submit each claim. Ensuring each goes out clean, with up-to-date medical information and billing codes, to guarantee accurate payment at first submission. As necessary, perform any follow up tasks required in pursuit of proper payment. Meet daily, monthly and quarterly collection goals set by billing supervisor. Process number of accounts per day as assigned. Analyze EOBs and construct response to insurance carriers based on claim adjudication. Manage AR of assigned accounts including processing insurance denials and or appeals, which may include phone contact with insurance companies. Follow up with payers and other appropriate parties to collect open balances in a timely manner, ensuring compliance with payer guidelines. Initiate refund requests for supervisor's approval. Identify and report payer issues with regard to rejection trends, denial trends, or change in payments. Communicate specific payer information to appropriate parties and or departments. Identify and address denial and or zero payments and correct billing submissions. Follow up and complete tasks on pending accounts in a timely manner and until account is settled. Other job duties as assigned.

Other Job Criteria:

Exhibit high levels of customer service and communication skill, verbal and writing, in all interactions both internally and with outside companies. Ability to proficiently utilize all company technology to perform job duties (e.g., answer phones, send emails, and updating patient accounts as needed). Blend education, skills and experience on an ongoing basis. Ability to work in a team setting and independently with minimal supervision, alternating between each as circumstances require. Advanced time management skills, efficiently complete job duties with extreme accuracy. Advanced organization skills, using professional judgment to prioritize high volume workload. Maintain patient and job confidentiality, ensuring compliance with HIPAA standards. Appearance and habits do come to work with presentable personal hygiene and attire. Reliable, dependable, and able to maintain job attendance with minimal absence. Perform job duties in spite of unforeseen obstacles, with versatility and positive personal temperament under stress and or pressure. Sitting and for long periods of time.

Education/Experience:

High School Diploma or GED Two or more years of experience in medical accounts receivable (AR), claims billing, appeals, processing denials, and submitting electronic data interchange (EDI) claims. Extensive experience and proficiency in date entry. Proficiency in explanation of benefits (EOB) analysis, payment adjustments, and medical terminology. Proficiency in understanding of CPT and HCPCS codes, AR follow-up, and payment reconciliation, and all revenue cycle functions and interrelationships.

Job Type:

Full-time Pay:

$39,520.00 - $52,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off

Experience:

Medical coding: 1 year (Preferred)

Medical Payment Posting:

1 year (Preferred) EHR systems: 1 year (Preferred) Medical billing: 1 year (Preferred)

Work Location:

In person