Medical Billing Specialist Job at Southeastern Spine Institute, LLC
We are looking for an experienced Medical Billing Specialist to join our team!
Position Summary:
In direct support of the Finance Department, the position takes data provided on a patient and uses it to submit claims for reimbursement and collect payment for the services provided.
Working Conditions:
Position requires full range of body motion, as well as manual and finger dexterity and eye-hand coordination. Involves standing and walking. Employee will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required. Employee will work under stressful conditions, may be asked to work at other locations, and work irregular hours.
Primary duties include, but are not limited to:
- Posting, collecting, and managing account payments for both the practice and Ambulatory Surgery Center (ASC.)
- Processes payments from insurance companies as well as preparing daily payment summary reports
- Processes insurance credit card payments
- Submitting claims to insurance carriers
- Answers questions for patients, clerical staff, and insurance companies based upon information on EOBs
- Document all calls timely and accurately in the patients’ account in the billing system
- Identify and resolve patient billing complaints
- Prepare new patient statements
- Scanning patient injection notes.
- Sends claims (hardcopy as well as digital) and works claim rejections.
- Ensure proper payment of claims and patient accounts as well as a strong built knowledge of insurance contracts.
- Timely follow up on insurance claim status as well as providing resolution for insurance denials.
- Writes appeal letters to insurance companies/providers
- Meets and updates Reimbursement Director of all reimbursement issues or obstacles.
Position Requirements:
- High school diploma or equivalent
- 3 years of experience in medical billing
- Experience in coding ICD-9 and CPT
- 3-5 Years of extensive medical accounts receivable and billing experience.
- Maintains professionalism throughout all written and verbal communications.
- Ability to work independently with minimal supervision and need for direction.
- Ability to establish and maintain effective working relationships with peers, providers, management staff and contacts inside and outside of workplace.
- Extensive knowledge on CPT, ICD-10 coding regulations and guidelines.
- Ability to appeal and work denied claims and aging reports.
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