What are the responsibilities and job description for the Revenue Cycle: Accounts Receivable, Billing, Coding, Payment posting position at Vista Healthcare?
Job Description:
- We are seeking a talented individual to join the team as a Medical Billing Specialist working on site who provides administrative and billing support in the Revenue Cycle process working with patients, insurance companies, prescribers, labs, and pharmacies regarding services provided by Southwest Spine and Pain.
Responsibilities include, but are not limited to, the following:
Use HCPCS/CPT and diagnosis codes to produce and submit claims to patients and insurance companies
Work directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
Obtain missing claim information
Review and appeal unpaid and denied claims
Identify and bill secondary insurances
Check each insurance payment explanation for accuracy and compliance with allowed contract rate
Phone communication with patient regarding account or billing questions
Review patient bills for accuracy and completeness
Seek collections on unpaid accounts
Process medical records requests
Up to date knowledge of insurance guidelines especially Medicare and Medicaid
Qualifications:
Billing and Medical experience preferred
1-year EHR knowledge/experience preferred
Successfully pass drug screen/background check
Exceptional customer service skills
Stable work history and transportation
Basic computer and keyboarding skills are required; Microsoft Office suite is a plus
Education:
Minimum High School diploma or GED equivalent required
