Client Profile- An Indiana based Independent Physician-Owned radiology practices founded in 1967.
Job Summary- Medical Billing Specialist responsible for accurately billing medical procedures and services.
Job Duties
- Prepare and submit billing data and medical claims to insurance companies including any additional clinical information as necessary.
- Make changes to demographic or insurance information as needed to produce accurate claims.
- Bill claims both electronically and manually, as needed.
- Must have ability to analyze coding to ensure proper billing of claim.
- Request and attach required clinical documentation as needed for processing of the claim.
- Examine patient charges for accuracy and request any mission information.
- Compare EOBs to current fee schedule to ensure proper processing of claim.
- Review unpaid and/or denied claims. Correct and resubmit claims to payors; submit appeals.
- Follow up with insurance companies, addressing denials and rejections, etc.
- Report any unresolved disputed claims to management when necessary.
- Prepare bills and invoices and document amounts due.
- Record information about the financial status of patient accounts and status of collection efforts.
- Complete various job duties within the billing office as needed.
- Work collaboratively with other billing team members.
Qualifications
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- High School Diploma, 3+years of experience in a health care financial setting or medical office setting. Must have previous prior authorization experience.
- Excellent customer service skills, strong attention to details, multi-task as needed.
- Must be familiar with an EMR; Microsoft Office 365
- Must be able to take responsibility and work under pressure. Work efficiently in a busy medical office.
- Must be a positive team player.
- Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.
- Proficient in medical terminology, especially radiological terms and procedures.
- Days/Hours: M/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus)
- âStarting pay $20.00 to $25.00 hourly (Based on experience)