The Medical Billing Specialist is responsible for reviewing daily charges and adjustments for accuracy, filing third-party claims, handling self-pay patient billing, and answering billing questions from patients and staff.
Key duties include:
- Reviewing assigned claims daily to ensure accuracy prior to submission
- Reviewing self-pay documentation to ensure appropriate discounts are applied
- Making billing corrections and adjustments to claims to support prompt payment and accurate balances
- Verifying the correct payer and patient eligibility when needed
- Contacting patients for missing information or documentation clarification
- Requesting, scanning, and uploading documentation required to process claims
- Submitting claims to the clearinghouse daily
- Processing secondary and tertiary claims accurately and on time
- Coordinating with Claims Resolution Specialists on denied claims and credit balances
- Completing rejection and rebill requests
- Following up on pending claims until resolution
- Assisting patients with billing questions, balances, benefits, deductibles, and copayments
- Supporting payment arrangements and issuing statements when necessary
- Assisting front office staff with billing and eligibility questions
- Applying benefits correctly across multiple service lines and site programs
- Producing itemized billing for law firms or other agencies
- Processing monthly DLO invoices and sending requested account information
- Creating daily deposit slips for self-pay and private pay accounts
- Collecting credit card payments and posting them to accounts
- Staying current with dental, behavioral health, and vision claims processing
- Meeting daily, weekly, monthly, and annual deadlines
- Maintaining Medicare, Medicaid, and HIPAA compliance in billing and collections activities
- Supporting special projects and organizational goals
Requirements & Qualifications
Required
- High school diploma or GED
- Experience communicating with patients, management, front office staff, and providers to resolve claim or account issues
- Strong critical thinking, analytical, problem-solving, and decision-making skills
- Ability to communicate effectively with people at various organizational levels, including in sensitive situations
- Proficiency with Microsoft Office and practice management software systems
- Ability to assist and support others in a professional and respectful manner
Preferred
- Bilingual English/Spanish
- Work experience in the medical field, preferably in a family practice setting
- Experience filing third-party claims and reports in a timely manner
- Basic knowledge of medical terminology and protocols
- Basic knowledge of coding and anatomy
Location
Oklahoma City, Oklahoma, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago