Medical Billing Specialist

We are seeking a highly experienced Medical Billing Specialist to join our Family Practice. The ideal candidate will have a strong understanding of medical billing processes and terminology, with experience in follow-up, and ensuring accurate and timely follow-up on billed claims.

Job Duties:

· Responsible for claims follow-up, from claim submission until final payment

· Communicate with insurance companies regarding claim denials or underpayments

· Utilize Payer Online Portals such as Availity, Healthfirst, Fidelis, UHC, NaviNet, Emblem for claims status and eligibility verification.

· Knowledge of Medicare and Medicaid billing and reimbursement

· Send Medical Records to payers, filing reconsiderations and appeals

· Utilize providers EMR

· Reading and understanding various payers EOB’s

· Posting payments, writing off balances and sending statements to patients, when necessary

· Review and verify accuracy of billing data

· Ensure compliance with all relevant coding and billing regulations

· Effectively resolve complex issues, including payment research, payment recoupments

· Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions

· Provider credentialing with insurance companies

Job Requirements:

· Knowledge of Primary Care coding - CPT and ICD codes

· Knowledge of medical terminology

· Strong attention to detail

· Excellent communication and interpersonal skills

· Proficient in Excel, Word and other Microsoft Office applications

· Must have a minimum of 5 years in medical billing

We offer:

· Excellent work environment

· Health and Retirement Benefits

· Paid Time Off

Job Type: Full-time

Schedule: Monday to Friday, including some evenings

Job Type: Full-time

Pay: $50,000.00 - $70,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Medical Billing: 5 years (Required)

Work Location: In person

Salary : $50,000 - $70,000