Medical Billing Insurance Specialist

Responsibilities MAY Include, BUT ARE NOT Limited TO:

• Billing private insurance/secondary using computerized billing program and check billing logs for completion/errors.
• Enter billing charges, ICD- 10 codes
• Verify patients’ insurance coverage
• Manage assigned workflows to include follow up on status of claims, denials and appeals for timely receipt of payment
• Contact insurance companies regarding denied claims
• Send appeals to insurance companies with appropriate documentation.
• Contact insurance companies and patients with questions related to billing
• Answer billing inquiries from patients, staff, customers and insurance companies and resolve complaints
• Assist with other duties including processing copayments, payment posting, reconciliation
• Correct and resubmit claims after confirming transmission errors with the payer
• Other duties as assigned

Skills AND Qualifications:

• Commercial, Work comp, VA, Tricare, Medicare and Medicaid payor knowledge. 1 year (Preferred)
• Working knowledge of medical billing with minimum 1-2 years insurance collections experience
• Excellent customer service skills
• Critical thinking on every aspect of claim submission
• Ability to compose effective appeals
• Ability to work independently and as part of a team
• Ability to work in a fast paced, expanding organization
• Proficient with EMR/PM systems, Microsoft Word, Excel, billing software, 10-key, ICD-10 coding, and medical terminology
• Demonstrated proficiency with productivity software (Microsoft Office & Excel)
• Experience with HIPAA and compliance-sensitive environments
• Strong attention to detail, and ability to collaborate independently and within a team
• Position is located on-site, not a remote position

Experience:

• Medical Billing: 1 year(Preferred)