Medical Billing Specialist

We are in search of a Medical Billing Specialist to join our team in DALLAS, Texas. The chosen candidate will play a pivotal role in our healthcare services sector by ensuring our billing operations run smoothly. This role offers a contract to hire employment opportunity.

• Comply with details of daily residential program counts and summarize client occupancy in Excel files for statistical analyses and billing support.
• Communicate with Admissions & Utilization Review, as well as Program Directors or Counselors to resolve treatment episode, certification, and enrollment issues.
• Monitor the level of treatment to ensure that appropriate billings are processed.
• Prepare and submit client billings to funding sources using multiple media, i.e., EDI transmissions, internet-based transmissions, and hard-copy claims.
• Research claim denials and initiate interaction with payors to determine the causes of and resolutions to denials and follows up on the same to ensure collection through the use of the EHR.
• Coordinate transactional data with Controller for final review.
• Recommend, modify, document, and coordinate the implementation of accounting and accounting control procedures with respect to client billings and collections.
• Must be experienced with private insurance and Medicaid billing practices.
• Process customer credit applications accurately and efficiently.
• Maintain accurate customer credit records. • Proficiency in using medical software such as Allscripts, Cerner Technologies, and EHR SYSTEM.
• Familiarity with Dynamic Data Exchange (DDE) and Epaces.
• Experience in managing Accounts Receivable (AR).
• Ability to handle Appeals, Benefit Functions, and Billing Functions.
• Knowledge of Claim Administration procedures.
• Experience in Medicaid and Medicare Billing processes.
• Proficiency in Medical Billing techniques and protocols.
• Familiarity with ICD-10 and ICD-9 coding systems.
• Ability to ensure compliance with all relevant healthcare regulations and standards.
• Excellent organizational skills with a keen eye for detail.
• Strong communication and interpersonal skills to interact with patients, insurance providers, and healthcare professionals.
• Ability to work independently and manage multiple tasks simultaneously.
• Problem-solving abilities to resolve billing discrepancies and claim denials.
• Basic computer skills including the use of Microsoft Office Suite (Word, Excel, PowerPoint).
• A commitment to continuous professional development in the field of medical billing.