What are the responsibilities and job description for the Medical Billing / Accounts Receivable Specialist position at Professional Management Enterprises?
Duties :
Examine Admission and Discharge Episode of Care Records
Ensure Adequate Clinical Documentation
Verify Level of Care
Ensure Compliance with MLA Billing Procedures and Standards
Prepare, Code and File Claims
Track Claims Status, Approvals
Ensure EOB Accuracy
Ensure Accurate Payment Posting
Ensure Accurate Data Entry
Process Denials and Appeals
Perform such other and further duties as assigned by the MLA Revenue Cycle Director
Qualifications :
- Proven working experience as a Medical Accounts Receivable Specialist or similar role.
- TRICARE Health Plan billing experience (Must have)
- Knowledge of billing procedures and collection techniques
- Familiarity with medical terminology and healthcare regulations.
- Proficiency with MS Office and databases.
- Excellent communication and data entry skills.
- Attention to detail and problem-solving ability.
- Understanding of medical coding and billing software.
- High school diploma; degree in Business Administration or related field is a plus.
