What are the responsibilities and job description for the Medical Billing Specialist position at St Michaels Eye & Laser Institute?
• Ensure all clinic and surgical claims are filed daily.
• Follows up with claims contacting payers for medical claims status, followup denials, or partial payments
• Obtains payer requirements for timely adjudication of claims
• Files claims with appropriate documentation attached
• Pursues maintains and communicates medical coverage/guideline changes/updates
• Processes all incoming and outgoing correspondence as assigned
• Verifies adjusts and updates Accounts Receivable (A/R) according to correspondence received from the insurance company
• Helps facilitate interoffice communication on error and denial trends
• Initiates the review/appeals process on disputed claims
• Researches credit balances and initiates refunds as required
• Documents all activity in customer's computer account
• Answers billing phone inquiries and disputes.
• Acts as liaison between staff and management
• High School Diploma or General Education Degree (GED) required
• Past performance shows solid evidence of insurance qualifications and guidelines
• Knowledge of telephone etiquette and adequate oral and written communication skills
• Shows effective multitasking skills
• Positive and cooperative attitude in working and communicating with individuals at all levels of the organization.
Salary : $17