Medical Billing Specialist Marquis Health Solutions - Dallas, TX 75254 Medical Billing Specialist Excellent working environment with great opportunities. The Company Marquis Health Solutions is a leading provider of orthopedic devices located in Dallas, Texas. We provide an exceptionally high level of care for our clients and employees alike. Our goal is to provide a turnkey, white-glove service to our physicians and patients, which has quickly allowed us to become one of the nations leading DME suppliers. We believe that our products and company initiatives fit into the change in healthcare. The Position Join our growing team! Marquis Health Solutions is looking for a Medical Billing Specialist with a minimum of two years experience to become an integral part of our billing and collections team. This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated biller. Required Skills * Specific knowledge of Medicare, commercial, and third-party insurance company rules and guidelines governing billing activities * Computer experience is essential, including, but not limited to: all Microsoft Office applications (Excel, Outlook, Word, etc.), medical billing software and applications, healthcare web-based applications, electronic claims editing software * Knowledge of CPT4, ICD-9/ICD-10, HCPC, UB04 coding; familiarity with HCFA and medical terminology, procedure codes and billing procedures * Working knowledge of insurance billing/coding rules and regulations (state and federal) for claims processing * Intermediate experience of A/R principles, in & out-of-network claims, working and reconciling reports daily, following-up on claims * Excellent customer service skills * Must have strong attention to detail and the ability to prioritize activities * Ability to manage relationships with various insurance payors * Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement * Responsible with use of confidential information; must have HIPAA certification or willingness to become certified * Perform to company standards of compliance with policies and procedures * Ability to work collaboratively and respectfully with fellow employees, clients, and patients * Ability to work in a production-driven environment * Excellent verbal and written communication skills resulting in positive communication * Ability to demonstrate analytical and mathematical skills * Must know appropriate use of modifiers including NCCI edits, LCDs and NCDs as applicable for specific facility/payor assigned Detailed Work Activities * Accept incoming claims from all over the United States and field them to their appropriate destination * Data entry of all patient demographics and insurance information * Verify completeness and accuracy of all claims prior to submission * Ensure all claims are submitted with a goal of zero errors * Timely follow-up on insurance claims, denials, exceptions and exclusions * Read and interpret insurance explanation of benefits * Utilize monthly aging accounts receivable report to follow-up on unpaid claims aged over 30 days * Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies * Respond to inquiries from insurance companies, patients, and providers * Be attentive and aware of insurance processing errors that could result in lost revenue for the company * Post deductibles, co-pays, co-insurances, contractual adjustments and payments Additional Requirements * Two (2) years medical and/or healthcare billing/collections experience required * Bilingual in English and Spanish a PLUS * High school diploma or GED required * Must pass skills exam prior to being offered position in order to ensure capability of performing necessary job duties * Willingness to submit to a background check * Must be authorized to work in the United States Why Should You Join Our Team? * Competitive pay and benefits * Excellent growth and advancement opportunities * Bonus program * Positive and enthusiastic work environment Job Type: Full-time Experience: * Medical Billing And Coding: 2 years Education: * High school or equivalent Language: * English Required work authorization: * United States 21 hours ago - save job