What are the responsibilities and job description for the Medical Billing Specialist position at Healthy Heart Cardiology?
Medical Billing Specialist
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Obtaining referrals and pre-authorizations as required for procedures.
- Work claims and claim denials to ensure maximum reimbursement for services provided
- Implement, maintain and report on programs initiated by the practice
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for insurance of patient follow-up.
- Researching and appealing denied claims.
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
- Setting up patient payment plans and work collection accounts.
- Updating billing software with rate changes.
- Updating cash spreadsheets, and running collection reports.
Knowledge, Skills, and Abilities
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Competent use of computer systems, software, and 10 key calculators.
- Familiarity with CPT and ICD-10 Coding.
- Effective communication abilities for phone contacts with insurance payers to resolve issues.
- Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
- Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
- A calm manner and patience working with either patients or insurers during this process.
- Knowledge of accounting and bookkeeping procedures.
- Knowledge of medical terminology likely to be encountered in medical claims.
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Ability to multitask.
- COVID-19 Precaution(s):
- Remote interview process
- Personal protective equipment provided or required
Job Types: Full-time, Part-time
Pay: $15.00 - $20.00 per hour
Schedule:
- Monday to Friday
Education:
- Associate (Preferred)
Experience:
- ICD-10: 1 year (Preferred)
- Medical Billing: 1 year (Preferred)
Work Location: In person
Salary : $15 - $20
