What are the responsibilities and job description for the Medical Billing Specialist position at Retinal Consultants Medical Group?

Description

Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous. We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians. We provide on the job training giving you the ability to grow and advance your skills along with gaining innovative knowledge. Established in 1977, we have locations all over Northern California including Sacramento, Grass Valley, Roseville, Stockton, Modesto, Fairfield, Elk Grove, Folsom, Yuba City and Chico. Our physicians are nationally known, and we continue to be on the leading edge of retina care by utilizing the latest equipment and both participating in and designing new clinical trials to advance the state of care for retinal diseases. Join 240 other team members working for our nationally recognized retina specialty practice in a fast paced, high volume medical office. This is a Hybrid position after completing training.

The Account Representative teams are responsible for resolving all outstanding accounts receivable balances in a timely manner. They assist patients with billing questions, evaluate credit balances for refunds, respond to insurance payment denials and requests for additional information, files appeal, prepare demand letters, and the rebills of claims.

Responsibilities

Following-up on various accounts (Medicare, Medi-Cal, GMC, IPA, HMO, and PPO).
Ensuring payment according to Medicare or Payer Contract Agreements.
Work assigned NextGen tasks per policy guidelines.
Interact with patients regarding billing questions.
Request adjustments per policy guidelines when needed on an account.
Participate in Account Representative phone queue during assigned timeframe.
Completing 1st and 2nd level appeals on claims as needed.
Attaching chart notes or referrals, if needed by claim.
Effectively work with Claimsource.

Requirements

Ability to navigate payer websites.

Knowledge of payer payment rules.

Basic knowledge of CPT and ICD-10.

Knowledge and understanding of EOB's.

Ability to communicate effectively with patients, payers, physicians, and other teams.

Ability to work individually as well as work in a team environment.

At least 2 years of experience in a provider's office or working with a medical billing company.

Ability to work with policy changes and procedures and pivot as needed.

Physical Requirements :

Sitting and viewing computer screen for extended periods, up to 85% of the time

Keyboarding, up to 90% of the time

Standing, up to 25% of the time

Lifting, reaching, and bending, up to 45% of the time

Close visual acuity required to perform duties such as viewing computer monitor, and determining accuracy and thoroughness of work

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Medical Billing Specialist

What are the responsibilities and job description for the Medical Billing Specialist position at Retinal Consultants Medical Group?

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