The Medical Billing Specialist is responsible for processing and transmitting claims, tracking claim status, monitoring authorization and eligibility of payer benefits, managing collections, and posting cash receipts.
Key responsibilities include extracting and verifying billing information from medical records, ensuring patient demographic and insurance information is accurate before claims submission, handling patient account inquiries, maintaining account records, resolving third-party payer issues, entering charges into the practice management system, preparing patient statements, ensuring timely filing of Medicare, Medicaid, and third-party claims, reconciling daily charges, and collaborating with revenue cycle staff on denials and rejections.
Required skills and qualifications
- Strong problem-solving skills
- Effective verbal and written communication skills
- Ability to interpret instructions in a variety of situations
- Strong organizational skills and ability to manage multiple projects simultaneously
- Proficiency with Microsoft Word, Excel, PowerPoint, and Internet Explorer
- Ten-key speed and accuracy
Additional requirements
- Comply with HIPAA, corporate compliance policies, and the Federal False Claims Act
- Communicate professionally with patients and guarantors
- Participate in orientation, training, monitoring, audit, and process improvement activities
- Meet productivity goals
- Handle multiple priorities effectively
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago