Medical Billing Specialist

We are a well established Ear, Nose, Throat and Allergy practice located in Westlake Hills, Texas (78746). We are seeking an A/R Specialist to join our team.

Qualifications:

Minimum three (3) years of billing/collections experience within a clinic or physician practice. ENT preferred. High school diploma required; formal billing education preferred. Strong working knowledge of insurance plans, including Medicare. Strong working knowledge of ICD-10 and CPT coding. Strong working knowledge of claim appeals, denials, and their processes for AR. Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems. (ModMed) Effective time management and the ability to prioritize work. Excellent communication skills and the ability to interact with all levels of management, staff, and physicians. Ability to read and interpret medical charts.

Essential Job Responsibilities:

• Reviews and analyzes insurance claims being sent electronically on a daily basis. Ensures claims are sent electronically and via paper every day, Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission. Generates

CMS 1500

forms, when necessary. Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting. Works closely with lead biller to facilitate the gathering of information that will insure proper response to claim denials. Follow-up on all unpaid claims in a timely manner. Generate and work aging reports weekly. Maintain computer office notes for clear audit trail on every account worked. Maintains tickler files, claims, and follow-up. Work delinquent reports after all correspondence is updated. Update patient insurance information to guarantee correct insurance billing. Provide customer service to patients inquiring about their patient account statements. Effectively communicate with patients and insurance companies regarding sensitive financial matters.

Send via mail or fax:

invoices, medical reports and patient notes to insurance companies to collect payments. Print aging/delinquent reports; review work accounts. Assist with collecting payments via phone. Often times helping with billing out clean claims and posting claims.

Benefits:

Accrued PTO Medical Dental Vision 401k (after waiting period) Great team culture! Please provide your resume.

Job Type:

Full-time Pay:

$23.00 - $25.00 per hour Expected hours: 40 per week

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Experience:

ICD-10: 3 years (Required)

Work Location:

In person