Medical Billing Specialist

POSITION SUMMARY

The Medical Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients. The Medical Billing Specialist provides essential support throughout our organization and follows up on submitted claims and patient billing; resubmits claims and/or corrects inaccuracies.

RESPONSIBILITIES

Processes billing to patients and third-party insurance companies Maintains supporting documentation files and current patient addresses Researches and responds by telephone and / or in writing to patient inquiries regarding billing issues and problems Monitors submitted claims; follows up on unpaid claims, and initiates dialogue with insurance companies Resubmits claims to insurance companies, as necessary Answers questions from patients, clerical staff, and insurance companies Identifies and resolves patient billing complaints Evaluates patient's financial status and establishes budget payment plans Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers Follows up with the provider on any documentation issues Other duties as assigned

EDUCATION/EXPERIENCE/REQUIREMENTS

A high school diploma or GED required Minimum of two (2) years of medical billing experience in a primary care setting required Expert knowledge in health information practices, concepts, and legal requirements required FQHC billing experience preferred

KNOWLEDGE, SKILLS, AND ABILITIES

Excellent customer service skills Ability to establish and maintain effective working relationships with patients, staff, and clinical team Ability to work in a fast-paced office setting Ability to work independently on assigned tasks, as well as to accept direction on given assignments Ability to handle confidential information and/or issues using discretion and judgment

Experience:

Medical Billing:

2 years (Required)

Work Location:

In person

Pay:

From $20.00 per hour

Benefits:

401(k) matching Dental insurance Employee assistance program Health insurance Health savings account Life insurance Paid time off Vision insurance

Work Location:

In person