Medical Billing Specialist

This role offers a contract to hire employment opportunity.

Responsibilities:

• Coordinate with providers to clarify incomplete or insufficient information for proper account/claim adjudication
• Correct, complete, and process claims for all payer codes, ensuring their accurate dispatch to insurance companies
• Conduct follow-up activities with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies for unpaid insurance accounts identified through aging reports
• Process online or paper appeals and refund requests
• Assist in the reconciliation of deposits and patient collections
• Contribute to billing audit-related activities
• Handle billing calls and questions from patients and third-party carriers, providing prompt and accurate responses
• Attend provider meetings/workshops as needed
• Identify and communicate trends and carrier issues relating to billing and reimbursements
• Maintain patient confidentiality while managing medical office operations.
• Must have a minimum of 2 years of experience in the field of medical billing.
• Proficiency in Microsoft Excel is mandatory.
• Demonstrable experience with billing functions, claim administration, and collection processes is required.
• Should have a strong background in medical billing and medical collections.
• Familiarity with claims processing, insurance claims, and patient collections is necessary.
• Experience in handling refund requests is essential.
• Knowledge of medical coding is a plus.
• Must possess excellent communication and organizational skills.
• Should be able to work independently and as part of a team.
• Detail-oriented with a strong focus on accuracy and efficiency.
• Must adhere to all rules and regulations pertaining to medical billing