Job Description

We are a fast paced and rapidly growing medical billing company seeking an experienced medical billing specialist with a strong background in OUT OF NETWORK billing and collections for a full-time position. Position will focus primarily on appeals and phone calls to insurance companies in order to obtain proper reimbursements for services rendered. You must be able to work independently and efficiently, communicate professionally with patients and insurance carriers and work well in a team environment. This job requires a high level of interpersonal, problem solving and analytical skills. Must have a good understanding and experience working with the medical revenue cycle. As well as experience working with Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems. Salary based on experience. AT LEAST 2 YEARS’ EXPERIENCE REQUIRED. Please send salary requirements with resume. And also include names of EHR, EMR and billing systems you’ve worked on.

QUALIFICATIONS:

• 2 YEARS MEDICAL BILLING EXPERIENCE REQUIRED
• OUT OF NETWORK SURGICAL BILLING A MUST
• EXPERIENCE WITH EMR OR EHR SYSTEMS A MUST
• EXPERIENCE WITH LYTEC BILLING SYSTEM A PLUS
• Orthopedic or General Surgery billing experience is a plus
• Strong knowledge of computerized billing systems
• Knowledge of customer service concepts, techniques and etiquette
• Knowledge of medical terminology, medical billing/collection practices, and basic medical coding
• Bilingual (English/Spanish) is a plus
• Prior experience as billing specialist, medical biller, medical coder or medical billing coding a plus

DUTIES INCLUDE:

• Ensure that insurance companies pay claims accurately according to fee schedules
• Analyze denials and submit appeals when necessary
• Follow up on unpaid claims
• Working accounts receivables
• Processing of all billing records and patient information accurately
• Review patient bills for accuracy and completeness and obtain any missing information