Medical Billing Specialist

Position Summary and Purpose

Correlate patient demographic and insurance information with charges to ensure accurate professional billing information is filed to insurance carriers. The Billing Specialist II is also responsible for working patient A/R on designated accounts to maximize funds collected.

This position is fully remote after successfully completing 4-6 weeks of mandatory in-office training. The training period is conducted on-site to ensure thorough onboarding and proficiency in job responsibilities. Local candidates are highly preferred to facilitate a smooth transition during the initial training phase.

Essential Responsibilities

• Obtain accurate patient demographic information from the designated hospital/facility.
• Verify patient information and contact insurance carrier to verify coverage, request authorization, and/or pre-cert as needed. Initiate patient charts in the billing software.
• Communicate with physicians and/or facility staff to resolve questions related to treatment, insurance, etc.
• Transfer billing information from facility scheduled to patient charts daily.
• Compare documentation to facility charges and clarify any discrepancies.
• Compute and accurately key charges into billing software.
• Submit computed charges for pre- and post-review (during training).
• Review all work and make necessary corrections before posting final batch.
• Review payments from insurance carriers for accuracy and make any necessary adjustments.
• Contact insurance carrier to resolve payment discrepancies including refiling claims as needed.
• Assist uninsured patients in obtaining financial assistance via Medicare or internal hardship program.
• Work accounts via the Collections Module in billing software and/or A/R reports to expedite payment on accounts. This may include insurance refiling, setting up patient payment plans, collection turnovers, or bad debt adjustments.
• Research credits on patient accounts and submit paperwork to generate refund checks.
• Assist Revenue Cycle Manager, and other teammates as required to maintain office continuity.
• Performs other duties as assigned.

Competencies

• Knowledge of medical billing/collection practices.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment
• Ability to operate a multi-line telephone system.
• Excellent verbal and written communication skills.
• Ability to read, understand, and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, teammates, and the public.
• Excellent organizational skills and attention to detail.
• Proficient with Microsoft Office Suite or related software.

Education and Experience

• High school Diploma
• Coding certification is preferred but not required
• Minimum 3 years of consistent medical coding and billing experience.

Physical Demands and Working Conditions

§ Physical activity: Occasional reaching, stooping, lifting, typing, repetitive motions (e.g., mouse/movements of the wrists, hands, and/or fingers); talking (e.g., expressing or exchanging ideas by means of the spoken word) and hearing (e.g., perceiving the nature of sounds at normal speaking levels with or without correction).

§ Physical requirements: Sedentary work (e.g., sitting at a desk most of the time. Walking and/or standing required occasionally).

§ Visual acuity requirements: Close visual acuity (e.g., viewing a computer terminal for long periods of time). Ability to determine the accuracy, neatness, and thoroughness for work assigned.

§ General environment: Subject to inside environmental conditions

Job Type: Full-time

Pay: From $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends

Application Question(s):

• Are you available to complete the mandatory 4-6 week in-office training period before transitioning to a fully remote role?
• Do you have Medical Billing AR experience? If so, how many years?
• Do you have coding experience?

Experience:

• Medical billing: 3 years (Preferred)

Work Location: Remote

Salary : $20