Medical Billing Specialist
Job
TEKsystems
Chesapeake, VA (In Person)
$43,680 Salary, Full-Time
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Job Description
Medical Billing Specialist Responsible for timely and accurate follow-up on unpaid and denied insurance claims to ensure maximum reimbursement. This role works primarily out of EPIC work queues and Aged Trial Balance (ATB) reports, prioritizing high-dollar and aging accounts. The ideal candidate is detail-oriented, analytical, and proactive in resolving claim issues while identifying trends to prevent future denials. Day-to-Day Responsibilities + Work daily out of EPIC work queues and Aged Trial Balance (ATB) reports to resolve aged accounts efficiently + Prioritize work by high-dollar balances and age of claims, organizing reports to address oldest accounts first + Review accounts to determine payment status, denials, and next steps for follow-up + Actively work insurance denials, including researching denial reasons and taking corrective action + Request medical records as needed, coordinate with Medical Records, and upload documentation to payer portals + Contact insurance companies to resolve unpaid or denied claims and obtain clarification when needed + Reach out to patients to update or correct coordination of benefits (COB) + Complete all necessary actions to ensure claims are processed and paid accurately + Analyze denial and follow-up trends to identify recurring issues + Collaborate with Kadisha and leadership to address root causes of denials and improve processes moving forward Systems & Tools + EPIC (primary system) + Insurance payer portals + OnBase (document imaging and scanning system) + Microsoft Excel (especially for ATB reporting and feedback tracking)
Required Experience:
+ PreviousHOSPITAL
experience in medical billing, accounts receivable, or insurance follow-up + Strong understanding of claim denials, follow-up processes, and insurance reimbursement + Ability to analyze data and identify trends related to claim issues + Experience working with electronic health record (EHR) systems, preferably EPIC Job Type & Location This is a Contract to Hire position based out of Chesapeake, VA. Pay and Benefits The pay range for this position is $20.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Chesapeake,VA.
San Francisco Fair Chance Ordinance:
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.Massachusetts Lie Detector:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.Similar remote jobs
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