What are the responsibilities and job description for the Medical Billing Representative position at Plastic + Hand Surgical Associates?
Plastic Hand Surgical Associates is currently seeking a Full Time Medical Billing Representative to join our billing team. PHSA is a leading reconstructive, hand and cosmetic surgery physician practice. Our day surgery center is fully accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). We provide patients with individualized care in a comfortable, private setting.
The successful candidate will have previous related experience, knowledge of commercial and government payers, excellent communication skills and the ability to maintain confidentiality.
Responsibilities
· Evaluate and follow up with insurance companies on outstanding accounts receivable.
· Review denied claims according to the billing guidelines and appeal as necessary
· Utilize medical billing software to process and submit claims to insurance companies accurately.
· Verify patient insurance coverage and obtain necessary authorizations for procedures.
· Maintain up-to-date knowledge of medical billing regulations and compliance standards.
· Collaborate with the billing team to resolve any outstanding accounts or denials promptly.
Qualifications
· Proficiency in medical collection, medical office experience, and EMR/EHR systems
· Strong knowledge of medical terminology, records, and coding (CPT, ICD-9, ICD-10, DRG)
· Experience in medical billing and insurance verification
· Excellent communication skills
· Relevant certifications in medical billing or coding are a plus
· Prior Authorization experience preferred but not required.
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to Relocate:
- South Portland, ME: Relocate before starting work (Required)
Work Location: In person