Medical Billing Specialist

Job highlights

Responsibilities
Responsible for posting insurance payments, account follow-up including aging and resolving insurance claims, auditing for maximum insurance reimbursement, credit balance refunds, and responding to patient inquires with timely resolution
Resolve electronic claim submission errors and rejections
Verify patient and insurance eligibility on payer website
Review and respond to patient inquires
Respond and resolve clinical and front office staff inquires and problems
Post insurance remittances by 835 electronic download or through the EFT system
Post insurance remittances and/or summaries by data entry
Post payments for medical record release
Balance insurance receipt batches to reflect payments, adjustments, and billing patient responsibility amounts accurately with completed reports
Follow up on insurance denials and rejections from remittance advice or summary
Knowledge of claim appeals process to file with appropriate documents and requirements to insurance payer

Submission of secondary insurance claims and attachments electronically
Audit patient accounts and request patient or insurance refunds in a timely manner
Monthly follow up of insurance aging reports to meet or exceed company standards
Attends weekly staff meetings
Retrieve and follow up on overnight and daytime voicemail messages to business office
Other duties as assigned
Attends workshops, seminars, and classes to further education and stay abreast of current billing service requirements and changes
Participant in billing audits for compliance
Maintain current knowledge of coding and medical policy and changes professional billing services
Awareness of collection laws and regulations
Maintain HIPAA privacy and security regulations
Communicate pertinent billing and insurance payer changes and regulations to providers, clinical staff, and management by reviewing payer websites, newsletters, and alerts

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WORK Hours: 8 AM to 4 PM CST