We offer a comprehensive benefits package to support work-life balance and employee well-being. Our benefits include:
We prioritize flexibility, health, and financial security, creating an environment where employees can thrive both professionally and personally.
A medical billing coordinator will ensure the appropriate appointments are made for the specialty providers, verifying insurance and making sure the appropriate referrals are attached to the visits, handle pre-authorizations for physical therapy, prescriptions and radiology requests (MRI & CBCT), and ensure all pre-operative results are received prior to surgery dates.
Medical billing will include reviewing patient medical records to accurately assign standardized codes for diagnoses, procedures, and services, then submitting claims to insurance companies and patients to ensure healthcare providers receive proper payment. Key responsibilities include managing electronic records, verifying insurance, following up on denied claims, and maintaining patient data confidentiality while collaborating with both patients and insurance providers.
Key Responsibilities:
Preparing and submitting medical claims, ensuring correct codes have been assigned for claims and preauthorizations to insurance companies and patients for services rendered.
Verifying necessary referrals for prescriptions, PT, and radiology needs.
Verifying insurance coverage, processing payments, and tracking outstanding balances working long side the business manager.
Investigating and resolving denied or partially paid claims, correcting errors, and resubmitting for payment.
Answering inquiries from patients regarding their bills and insurance.
Acts as a liaison and first contact between patients and their health providers as well as with other health providers and pharmacists.
Maintaining organized, accurate, and confidential electronic health records (EHR).
Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties assigned. Specific duties and responsibilities may vary based upon departmental needs.
EDUCATION and/or EXPERIENCE:
High school diploma or general education degree (GED); two years’ related experience as a medical billing specialist. Must be a Certified Medical Billing Professional
Required Knowledge / Skills / Abilities:
Essential Skills:
ADDITIONAL CONDITIONS OF EMPLOYMENT:
Employees in this job class may be required to receive immunization to prevent illness due to exposure to blood borne pathogens.
This job description is designed to give an outline of what job duties are expected of this position. As an outline it does not fully describe or limit the extent of the position’s duties. UM FDSP Associates P.A., and its supervisors may amend the job description as it deems necessary, without advance notice. The job description is not intended to create an employment contract and should not be construed as such.