Medical Billing Specialists

Medical Billing Specialist

Monday -Thursday 8 - 5, Friday 8 - 3

Salary: $16 - $19/hr

Job Summary: We are seeking a diligent and experienced Medical Claims Specialist to join our team at Trinity Employment Specialists. The ideal candidate will have a strong understanding of medical billing processes, including CPT and ICD-10 codes, and will be responsible for following up on unpaid claims, working with insurance companies, healthcare providers, and patients to ensure claims are processed and paid efficiently.

Key Responsibilities:

• Follow up on unpaid claims within the standard billing cycle time frame
• Work directly with insurance companies, healthcare providers, and patients to process and pay claims
• Review and appeal unpaid and denied claims
• Identify and bill secondary or tertiary insurances
• Handle collections on unpaid accounts with production standards
• Research and review insurance denials from reports or documents provided by insurance companies
• Verify insurance coverage and benefits
• Complete and submit reconsideration requests or appeals to insurance companies
• Place outgoing calls to insurance companies to inquire about claim status
• Correct and resubmit corrected claims with supporting documentation as appropriate
• Complete other duties as assigned

Required Qualifications:

• Basic knowledge of CPT and ICD-10 codes
• High school diploma or equivalent
• At least 2 years of experience in medical billing or a related field
• Strong communication and organizational skills
• Proficiency with medical billing software and electronic health records (EHR)
• Attention to detail and ability to handle multiple tasks efficiently

#BA

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* Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods.
* Verify accuracy of billing data and revise any errors.
* Resolve discrepancies in accounting records.
* Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
* Operate typing, adding, calculating, or billing machines.
* Post stop-payment notices to prevent payment of protested checks.
* Verify signatures and required information on checks.
* Keep records of invoices and support documents.
* Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
* Consult sources, such as rate books, manuals, or insurance company representatives, to determine specific charges or information such as rules, regulations, or government tax and tariff information.
* Weigh envelopes containing statements to determine correct postage and affix postage, using stamps or metering equipment.
* Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services.
* Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
* Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems.
* Monitor equipment to ensure proper operation.
* Route statements for mailing or over-the-counter delivery to customers.
* Contact customers to obtain or relay account information.
* Compare previously prepared bank statements with canceled checks and reconcile discrepancies.
* Match statements with batches of canceled checks by account numbers.
* Take orders for imprinted checks.
* Encode and cancel checks, using bank machines.
* Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand.
* Compute credit terms, discounts, shipment charges, or rates for goods or services to complete billing documents.
* Update manuals when rates, rules, or regulations are amended.
* Estimate market value of products or services.
* Review compiled data on operating costs and revenues to set rates.
* Answer inquiries regarding rates, routing, or procedures.
* Compile reports of cost factors, such as labor, production, storage, and equipment.
* Create billing documents, shipping labels, credit memorandums, or credit forms.
* Perform general administrative tasks, such as answering telephones, scheduling appointments, and ordering supplies or equipment.
* Return checks to customers or retrieve checks returned to customers in error, adjusting accounts and answering inquiries about errors as necessary.

Salary : $16 - $19