What are the responsibilities and job description for the Medical Billing Specialist position at Spine & Nerve Diagnostic Center?
Job Opening: Medical Billing Specialist (Full-Time)
We are seeking a highly motivated and detail-oriented Medical Billing Specialist to join our team. This full-time position will focus on researching and appealing denied claims, managing workers' compensation claims, charge posting, payment posting, and monitoring reimbursements for accuracy. The ideal candidate will have experience in medical billing, with a strong understanding of the appeals process, and the ability to ensure the timely and accurate processing of claims.
Key Responsibilities:
- Research & Appeal Denied Claims: Thoroughly investigate denied claims, identify the cause, and take appropriate steps to appeal and resolve discrepancies.
- Workers' Compensation Experience: Handle billing and claims related to workers' compensation, ensuring proper coding and compliance with industry standards.
- Charge Posting & Payment Posting: Accurately post charges and payments into the billing system in a timely manner.
- Monitor Reimbursements for Accuracy: Track reimbursements to ensure accuracy and resolve any discrepancies between billed amounts and payments received.
- Process Corrected Claims for Appeals: Correct and reprocess claims when necessary, ensuring they meet all necessary requirements for resubmission and appeal.
Requirements:
- Previous experience in medical billing, specifically with experience in claims research and appeals.
- Strong understanding of medical terminology, coding, and billing processes (CPT, ICD-10, HCPCS, etc.).
- Familiarity with workers' compensation claims and procedures.
- Attention to detail with a strong ability to analyze data and troubleshoot claim issues.
- Ability to work independently and as part of a team.
- Excellent communication skills, both written and verbal.
Preferred Qualifications:
- Experience with medical billing software such as Lytec or similar.
- Experience with EPIC EMR.
Job Type: Full-time
Pay: $20.00 - $23.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- Monday to Friday
- No weekends
Ability to Commute:
- Granite Bay, CA 95746 (Required)
Work Location: In person
Salary : $20 - $23
