Medical Billing Specialist

JOB DESCRIPTION

Job Title: Medical Billing Specialist

Reports To: Billing Manager

FLSA Status: Non-Exempt

Summary: The Medical Billing Specialist generates revenue by making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts. They are responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. It is a position that is critical for the revenue cycle of our health center.

Basic Responsibilities include the following:

• Perform posting charges and completion of claims to payers in a timely fashion
• Submit billing data to insurance providers
• Work claims and claim denials to ensure maximum reimbursement for services provided.
• Prepare bills and invoices for medical services and treatment received.
• Establishes payment arrangements on current and delinquent patient accounts.
• Contacts and follows up with individuals to reconcile accounts.
• Gathers patient insurance and financial information to generate payment for health center.
• Gathers information needed to secure payment from third party insurances.
• Update Medicare and Medicaid cost and bad-debt reports, billing, collections and related information.
• Monitors debts and unresolved patient accounts.
• Collect payment on outstanding accounts.
• Follows all work processes, procedures, while maintaining compliance to the rules and regulations set forth by the company.
• Always strive to deliver high-quality results in accordance with standards.
• Protects and keeps all patient and hospital information confidential.
• Accepts ownership for all tasks and responsibilities while improving the company’s reputation.

Qualifications
1. Prior management experience with billing through a revenue cycle management system.
2. Leadership qualities
3. Demonstrated ability to work independently and as a team player
4. Tactfulness
5. Demonstrate willingness to adapt to change
6. Pleasant phone manner and voice
7. Must be a self-starter and dependable
8. Able to prioritize workload while remaining flexible
9. Confident positive manner and appearance
10. Customer service experience
11. High school diploma or equivalent
12. Microsoft Word, Excel,10-key, telephone and computer experience
13. Above average critical thinking, communication and analytical skills.

Knowledge, Skills, and Other Abilities
1. Able to speak/write English (Spanish if needed, but not mandatory) clearly
2. Good verbal and written communication skills
3. Correct grammar, spelling skills, and legible writing
4. Skills in answering the telephone in a pleasant and helpful manner and using a multi-line phone system.
5. Able to read, understand, and follow oral and written instructions
6. Demonstrate compassion and caring in dealing with others
7. Tactfulness/soft spoken
8. Demonstrate willing to adapt to change
9. Be able to prioritize workload while remaining flexible
10. Confident positive manner and appearance
11. Type a minimum of 40 wpm.
12. Operate a telephone system
13. Knowledge of HIPAA, COMPLIANCE,

Job Type: Full-time

Pay: $20.00 - $25.95 per hour

Expected hours: 8 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Washington, NC 27889 (Required)

Ability to Relocate:

• Washington, NC 27889: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $26