Position Title: Medical Billing Specialist

Supervisor: Billing Office Manager

FLSA Status: Non-Exempt

Mission:

To provide our patients and community the most innovative and breakthrough treatment options to improve overall health and wellness.

Values:

Patient Experience

Innovation

Integrity

Teamwork

Job Summary:

The Medical Billing Specialist supports the business office by collecting and posting payments from insurance companies who have unpaid claims. The Medical Billing Specialist task list includes, but is not limited to:

• Works with assigned insurance companies to call, obtain, and track claim status via phone and online portals.
• Posts insurance payments and remits information from incoming EOBs onto patient’s accounts for previous dates of service.
• Composes and follows up on claims appeals.
• Appropriately identifies, addresses, submits or processes adjustments, overpayments, and outstanding balances.
• Reviews and responds to payment information associated with Explanation of Benefits or Remittance Advice documents.
• Builds relationships with insurance carriers and representatives.
• Works incoming mail of payers to resolve denied payment issues or requested documentation necessary for payment review.
• Demonstrates an ability to assist in answering incoming phone calls through the department’s hunt group and respond to outstanding voicemails.
• Calls patients prior to scheduling their procedure to go over financial responsibility and answer any questions they may have.
• Responsible for patient financial counseling.

Supervisory Responsibility:

• This position has no supervisory responsibilities.

Qualifications:

• High School Diploma or GED required. Post-secondary education strongly preferred.
• Two years of medical insurance billing experience required.
• Strong knowledge of Medicare and Medicaid plans.

Skills & Abilities:

• Good writing and analytical skills.
• Exceptional problem-solving and independent thinking skills.
• Ability to effectively interpret EOB information and apply it towards outstanding charges.
• Knowledge of medical billing procedures and concepts.
• Ability to enter in medical payment information towards patient accounts.
• Ability to assist in answering phone calls and returning voicemails.
• Ability to effectively communicate and prioritize duties.
• Ability to follow oral and written instructions.
• Ability to operate standard office equipment.
• Strong computer skills.
• Ability to work well whether independently or as part of a team.
• Knowledge of principles and practices of basic office management and organization.

Work Environment:

While performing the duties of this job, the employee regularly works in an office setting

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

While performing the duties of this job, the employee is occasionally required to walk; sit; use hands to grasp or handle objects, tools, or controls; reach with hands and arms; stoop, kneel, or crouch; talk or hear. Employee must be able to sit for at least 80% of the time and stand for up to 20% of the time. The employee must occasionally lift or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

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Compensation & Work Schedule:

• Full-time: 40 hours/week.
• Non-Exempt.
• Day Shift: Monday - Friday. 8 hour shift between the hours of 7:00AM and 4:30PM
• No evenings or weekends.
• A competitive benefits package including medical, dental, vision, life, and disability insurance, 401(k), paid time off, paid holidays, and HSA plan is offered.