Medical Billing Specialist

We are looking for an individual with strong medical billing experience, who can work both independently as well as within a group. The candidate should have excellent organizational, communication, and technical/computer skills.

The Medical Billing Specialist will be responsible for a broad range of billing processes related to managing the timely submission and payment of medical claims by insurance companies and patients for services rendered by our clients at physician offices, hospitals, nursing homes, or other health care facilities.

Responsibilities include:

• Review claims for accuracy and completeness and obtain any missing information
• Submit claims electronically and on paper
• Identify and bill secondary or tertiary insurances
• Knowledge of insurance guidelines especially Medicare and Medicaid
• Follow up on unpaid claims within standard billing cycle time frame
• Call insurance companies regarding any discrepancies in payments
• Prepare, review, and send patient statements
• Analyze billing and financial reports for assigned accounts
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts

 Experience and Requirements:

• 2+ years of medical billing experience
• Experience with ICD-10-CM, CPT, and Modifiers required
• Knowledgeable in HIPPA rules and regulations
• Proficient written and oral communication skills
• Experience with Kareo PM Billing software a plus

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