Under direct supervision, the Medical Billing Specialist is responsible for reviewing, submitting, and following up on medical insurance claims to ensure payment for services. The role also supports accounts receivable, payment posting, denial resolution, and patient and insurance communication.
Key responsibilities
- Receive, review, and enter client information into the electronic health record; verify insurance coverage
- Scrub and submit electronic and paper claims to Medicaid, Medicare, and private insurance companies
- Receive payments, reconcile remittance advice, and post payments into the electronic health record system daily
- Reconcile EFT, check, and credit card payments with payment postings and reports; prepare daily deposits
- Resolve claim denial issues promptly to help ensure timely payments
- Provide timely notation of actions on accounts receivable items; initiate collection of account balances, locate and collect past due accounts, and establish payment plans with clients
- Communicate effectively with patients and insurance companies regarding claims
- Review electronic health record encounter notes to verify charges submitted to the electronic superbill are accurate and add modifiers as needed
Requirements & Qualifications
Qualifications
- Two years of full-time medical billing experience, including proficiency working in electronic health record systems, CPT and ICD-10 coding, posting payments, and clinic billing; or an equivalent combination of related training and experience
- Knowledge of the electronic health record system used by the department
- Ability to read and interpret insurance remittance advice
- Ability to collect, verify, and enter data and present information in report format
- Ability to prioritize work to meet established timelines
- Ability to follow directions and carry out projects independently
- Ability to identify problems and find solutions
- Ability to communicate effectively, both orally and in writing
- Ability to maintain confidentiality and adhere to HIPAA guidelines and regulations
Location
Delaware, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago