Medical Billing Insurance Specialist

Responsibilities MAY Include, BUT ARE NOT Limited TO:

• Billing private insurance/secondary using computerized billing program and check billing logs for completion/errors.


• Enter billing charges, ICD- 10 codes


• Verify patients’ insurance coverage


• Manage assigned workflows to include follow up on status of claims, denials and appeals for timely receipt of payment


• Contact insurance companies regarding denied claims


• Send appeals to insurance companies with appropriate documentation.


• Contact insurance companies and patients with questions related to billing


• Answer billing inquiries from patients, staff, customers and insurance companies and resolve complaints


• Assist with other duties including processing copayments, payment posting, reconciliation


• Correct and resubmit claims after confirming transmission errors with the payer


• Other duties as assigned

Skills AND Qualifications:

• Commercial, Work comp, VA, Tricare, Medicare and Medicaid payor knowledge. 1 year (Preferred)


• Working knowledge of medical billing with minimum 1-2 years insurance collections experience


• Excellent customer service skills


• Critical thinking on every aspect of claim submission


• Ability to compose effective appeals


• Ability to work independently and as part of a team


• Ability to work in a fast paced, expanding organization


• Proficient with EMR/PM systems, Microsoft Word, Excel, billing software, 10-key, ICD-10 coding, and medical terminology


• Demonstrated proficiency with productivity software (Microsoft Office & Excel)


• Experience with HIPAA and compliance-sensitive environments


• Strong attention to detail, and ability to collaborate independently and within a team


• Position is located on-site, not a remote position

Experience:

• Medical Billing: 1 year(Preferred)