Medical Billing Specialist

Job Summary:

Large privately owned gastroenterology practice is seeking an experienced and detail-oriented Medical Billing Specialist. The ideal candidate will have a minimum of 2-3 years of insurance/billing experience in a physician practice and/or hospital setting. Duties include but not limited to: Prepare and submit clean claims to various insurance companies either electronically or by paper. Review claims against medical documentation to ensure clean claims are submitted to the appropriate third party payer Complete coinsurance billing to appropriate secondary or tertiary insurances Consistently follow up on unpaid claims using monthly aging reports Learn and understand Medicare, Managed Care, and Medicaid regulatory billing practices Answers questions from patients, clerical staff and insurance companies regarding billing issues. Identifies and resolves patient billing complaints. Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Processes payments from insurance companies and individuals. Participates in educational activities and attends staff meetings. Stay abreast of current medical coding and billing issues, trends and changes in the laws and regulations in order to make recommendations for changes in policies and procedures Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations. Take initiative to understand and apply available resources and appropriate guidance and policies Other duties as assigned.

Required Qualifications:

High School Diploma or GED 2-3 years insurance/billing experience in a physician practice and/or hospital setting. Must have familiarity with medical terminology Proficient in Microsoft Office products; Word, Excel, Outlook, and PowerPoint Strong attention to detail, ability to multi-task, prioritize and the strong interpersonal skills.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Experience:

Insurance verification: 2 years (Preferred) Medical billing: 2 years (Preferred)

Work Location:

In person