Medical Billing Insurance Specialist

Job Details

Description

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