Medical Billing Specialist

Job Description

Job Description

This is a full-time position available for immediate hire. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties. Please submit your resume ONLY if you meet the job requirements outlined below. Resumes that do not align with these requirements will not be considered or retained.

Insurance A/R Coordinator

Qualified applicants must have a minimum of two years of experience in medical billing, with a primary focus on physician services. Experience working with multiple provider specialties is strongly preferred. Familiarity with Epic and CareTracker billing systems is a plus; however, extensive hands-on industry experience is most important.

Significant exposure to the following aspects of billing / revenue management is required:

• Patient Registration
• Insurance Eligibility Verification
• Service Coding
• Charge Entry
• Claim Submission Errors
• Insurance Payment Processing
• Patient Payment Processing
• Customer Service
• A/R Follow-up

This position will be primarily responsible for the following tasks of Insurance A/R follow-up:

• Unpaid Claims
• Unpaid Crossover Balances
• Denials Management
• Appeals Submission
• Insurance Credit Balance Review
• Takeback Requests / Refunds

The ideal candidate will possess a dedicated work ethic, strong problem-solving skills, a commitment to meeting and exceeding the company’s high standards of quality, and an overall positive attitude. The ability to independently troubleshoot and research complex issues is necessary in order to be successful in this position.

It is essential to follow the constantly changing policies of various insurance payers in order to proactively anticipate operational and workflow-related changes that the billing operation must adhere to in order to avoid unnecessary denials and loss of provider reimbursement. Strong attention to detail and diligence in following through on complicated and/or time-consuming items is critical.

Coordination and timely communication with management and fellow team members regarding new trends and issues is essential. We operate in small teams, so the ability to work well with others is absolutely necessary.