Medical Billing Specialist

MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.

MedVanta has an employee centered culture that supports and promotes diversity and inclusion. Our encouraging and empowering management style makes MedVanta a great place to further grow your knowledge while building a team driven path to success.

The Central Billing Office (CBO) Accounts Receivable Representative is responsible for performing a variety of complex accounts receivable-related functions for the Central Billing office. The CBO Accounts Receivable Representative reports directly to the designated Central Billing Office leader.

Duties include, but are not limited to:

• Investigates and resolves denied claims.
• Works and manages claims from all aging buckets, including posting, appeals, ADRs.
• Identifies and reviews delinquent accounts and pursues collection as needed.
• Performs and documents follow-through efforts in a timely manner.
• Coordinates medical record documentation to be submitted with appeals.
• Communicates accurate patient and billing information to insurance carriers.
• Prepares weekly status reports for review with management.
• Assists with medical biller duties, including but not limited to handling insurance claims, submitting claims to insurance, collecting, posting, and managing patient account payments, and preparing and reviewing patient statements.
• Other duties as assigned.

Required Education & Experience

1. High School Diploma.
2. 2 years of related experience, with experience in an orthopaedic setting preferred.
3. Proficiency with Microsoft Office suite of products well as electronic billing systems.
4. Extensive knowledge of insurance, benefits, medical terminology, and medical billing.
5. Experience working with billing and accounts receivable or both commercial and non-commercial payors.

Competencies/Required Skills & Abilities

1. Strong interpersonal skills - ability to develop relationships and collaborate and influence in a centralized organization.
2. Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
3. Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience.
4. Able to work independently.
5. Exudes professionalism in presentation.

Physical Demands

1. Must be able to sit for long periods of time and lift up to 25 pounds
2. Must be able to use appropriate body mechanics techniques when performing front desk duties.
3. Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
4. Adequate hearing to perform duties in person and over telephone.
5. Must be able to communicate clearly to patients in person and over the telephone.
6. Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.