Medical Billing Specialist

Job Description:

· Knowledge of medical billing practices and medical coding.

· Obtaining referrals and pre-authorizations as required for procedures.

· Checking eligibility and benefits verification for treatments.

· Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

· Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

· Following up on unpaid claims within standard billing cycle time frame.

· Checking each insurance payment for accuracy and compliance with contract discount.

· Calling insurance companies regarding any discrepancy in payments if necessary

· Identifying and billing secondary or tertiary insurances.

· Reviewing accounts for insurance of patient follow-up.

· Review denials, research and correcting or appealing denied claims.

· Answering all patient or insurance telephone inquiries pertaining to assigned accounts.

· Setting up patient payment plans and work collection accounts.

· Aging and AR and reporting

· Updating cash spreadsheets, and running collection reports.

· Payment posting

· Understanding EFT and ERA and set up

· Credentialing of individual medical providers

· Credentialing of Practices

· CAQH

· Contracting Insurances and maintaining

· Medicare, Pecos, and NPPES

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Benefits:

• Paid time off

Ability to Commute:

• Orland Park, IL 60467 (Required)

Ability to Relocate:

• Orland Park, IL 60467: Relocate before starting work (Required)

Work Location: In person