Growing Hanover Family Practice Associates, LLC is seeking a detail-oriented, goal-oriented, revenue-driven Medical Billing Specialist to join its in-office Billing/Collections team.
Primary responsibilities include follow-up on unpaid claims using monthly aging reports, filing appeals when appropriate to maximize reimbursement, data entry of patient demographic, guarantor, and insurance information, posting procedures and insurance/patient payments, and balancing to daily deposits.
Additional duties include monitoring claim denials and rejections, verifying coding accuracy prior to submission, reading and interpreting explanation of benefits, responding to inquiries from insurance companies, patients, and providers, and supporting reimbursement issue resolution with management.
Required skills and qualifications
- Certified Professional Coder (CPC)
- Minimum of 2 years of billing experience
- Experience with practice management software and electronic medical record software
- Proficiency with Microsoft Office applications
- EPIC and Excel experience preferred
- Knowledge of CPT, ICD-10, HCPCS, and Category II coding
- HCC risk adjustment experience
- Ability to perform level-of-service claim audits using E/M documentation tools
- Familiarity with medical terminology
- Strong customer service skills
- Strong written and verbal communication skills
- Ability to manage relationships with multiple insurance payers
- Experience filing claim appeals and investigating denied or rejected claims
- Ability to maintain confidentiality and comply with policies and procedures
- Strong multitasking skills and ability to work professionally with staff, clients, and patients
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago