|Medical Billing Specialist
|Medical Billing Specialist|
|Reports to||Director of Revenue Services|
Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection. Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials. Manage correspondence.
Duties and responsibilities
- Performs billing and computer functions, including patient & thirds party billing, data entry and posting
- Prepares and submits clean claims to various insurance companies either electronically or by
- Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of
- Answers question from patients, FHCHC staff and insurance
- Identifies and resolves patient billing
- Prepares reviews and send patient
- Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client
- Take call from patients and insurance companies regarding billing and statement questions.
- Process and post all patient and/or insurance
- High School diploma or GED with experience in medical billing
- Knowledge of third party billing requirements, ICD and CPT codes
- Needs good interpersonal skills and ability to work as a member of the team to serve the
- Accurate & detail oriented
- Ability to work independently
- Bi-lingual in English and Spanish Preferred
- Ability to use computer and multi-lined telephones
- Understanding of billing practice
- Oral and written Proficiency in English
Category III—Low Risk Position
Generally works in an office environment with no exposure to blood borne pathogens
Physical Demands: Requires walking, bending, sitting, standing, or lifting up to 50 lbs.
Mental Demands: Ability to cope with continual changing priorities under potentially stressful conditions
American with Disabilities Requirements
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.