Medical Billing Specialist

Genesis Medical Group is a multi-specialty practice that strives to provide the best possible care to all patients in a caring and compassionate environment. Genesis is seeking a Full-Time Medical Billing Specialist for our specialists and our laboratory department within our busy medical practice. This is not a remote position, it is in our centralized business office in Spring, Tx.

The Medical Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims along with appeals, monitoring claim status, researching front end rejections to acceptance from payors, denials, documenting related account activities, ensure posting adjustments and payments are correctly posted.

Hours: Mondays- Fridays 8am - 5pm

Job Requirements

• Oversee the complete revenue cycle, including billing, coding, collections, and denial management.
• Ensures timely and proper filing of claims across a variety of insurances.
• Verifies that demographic and insurance carriers are accurate within patient registration.
• Reviews and manages A/R; to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue and monitoring and management of denial rates and denial categories related to activity.
• Review and resolve high level issues related to claim generation and rejected/denied billings and look for trends.
• Claim and appeal follow-up along with processing write-offs and adjustments.
• Work with insurance companies to file appeals to guarantee max reimbursement and identifying billing and coding issues and requesting re-bills, secondary billing, or corrected claims as needed.
• Conducts audits and coding reviews to ensure all documentation is accurate and precise.
• Ensures timely and accurate review of EOBs while monitoring/tracking missed payments and unresolved financial discrepancies.
• Attention to detail to ensure accuracy of patient demographic information, proper code utilization, address modifier requirements, etc.
• Determines actions such as submissions of additional documentation on individual claims to increase reimbursement levels and provide additional/supplementary documentation needed for payor consideration of non-routine charges.
• Corrects coding errors, reviews documentation, contacts the clinics/departments to determine the correct code to submit. Identifies discrepancies, potential quality of care, and coding/billing issues.
• Must possess knowledge of Explanation of Benefits (EOB’s) and understanding of copays, coinsurance, deductibles and denial codes, possible posting of payments when needed.

Requirements and Experience

• Full AR Revenue Cycle experience/knowledge required: (Including Front End) Authorizations, Insurance Verification, Coding, Billing, Posting, etc.
• Minimum of two years’ experience in a billing or insurance account follow-up capacity is required.
• Thorough knowledge of CPT coding, ICD-10, HCPCS and basic medical terminology.
• Experience with medical billing software; Athena health is a plus

Essential Job Functions and Duties:

• Prepares and submits billing data and laboratory claims to insurance companies.
• Ensures the patient’s information is accurate and up to date.
• Responds and resolves patient inquiries by phone and email.
• Follows-up on missed payments and resolves financial discrepancies.
• Examine patient bills for accuracy and request any missing information.
• Investigate and appeal denied claims.
• Report weekly on assigned billing responsibilities including AR, denial trends, payments, and claim errors.
• Performs other duties as assigned.

Competitive pay and benefits: Insurance, paid time off, holiday pay, no parking fees, etc. Please email resumes to jobs@genesisdoctors.com or fax resumes to 281-943-6617.

Job Type: Full-time

Benefits:

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

Schedule:

• Monday to Friday

Experience:

• CPT coding: 2 years (Required)
• ICD-10: 2 years (Required)
• HCPCS: 2 years (Required)
• Medical terminology: 2 years (Required)
• medical billing or insurance account follow-up: 2 years (Required)

Work Location: Multiple locations