Accounts Receivable, Accounts Receivable Management, Billing, Dialysis, Electronic Medical Records, Federal Laws and Regulations, Financial Services, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Hospital, Insurance, Leadership, Medical Billing, Payment Posting, Reconciliation, Revenue Management
USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.
SUMMARY
A Medical Billing Specialist translates healthcare services into financial claims, serving as a intermediary between our practices, patients, and insurance companies. They manage the revenue cycle by submitting claims, tracking payments, and resolving denials to ensure our providers are properly reimbursed.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
- Claim Submission: Prepare and submit accurate claims to Medicare, Medicaid, and commercial payers using standardized medical codes (ICD-10, CPT).
- Denial Management: Investigate rejected or denied claims, correct discrepancies, and submit appeals to recover lost revenue.
- Payment Posting & Reconciliation: Post insurance and patient payments to EMR, and manage Accounts Receivable (AR) aging reports to identify and work outstanding balances.
- Compliance: Ensure billing practices adhere to HIPAA guidelines and federal healthcare laws.
- Contact Practice Managers, clinical or hospital personnel at the centers, Credentialing Specialist, and insurance companies to obtain missing and incorrect information.
- Patient Billing: Generate patient statements, handle billing inquiries,
- Maintain a professional working relationship with all the center and leadership staff.
- Performs other duties and responsibilities as required or assigned.