Medical Billing Specialist (Voice)

Responsibilities:

• Processes billing to patients and third-party insurance companies
• Receives, reviews, corrects, and enters claim information into the billing system.
• Complies with HIPAA and other regulations and requirements.
• Promptly resolves issues related to claim denials.
• Performs all responsibilities to meet timely filing and other time-sensitive requirements.
• Maintains required files of all appropriate documents and information.
• Works at least 85 tasks daily.
• Review patient eligibility and benefits verification for treatments and procedures.
• Coordinates with management and escalates and resolves billing issues.
• Keeps up to date with healthcare practices, laws, and regulations related to insurance requirements and new coding rules.
• Corrects and resubmits claims for payers that require case rate code corrections.  
• Prioritizes work and manages time effectively to meet set requirements made by the manager.
• Assists with other administrative tasks as needed.
• Other duties may be assigned

Required Skills:

• Minimum of 3 years experience in medical billing or collections.
• Knowledge of medical terminology, CPT codes, ICD10, HCPCS, HCFA 1500 claim form, and HIPAA regulations.
• Knowledge of Medicare, State Medicaid, and Commercial insurance product guideline billing requirements.
• Computer Skills/Proficiency using EMR and other software programs such as MS Word, Excel, and online payer portals.
• Ability to comprehend medical record documentation to review charges and place of service billed accurately.
• Maintain high billing standards that adhere to current industry guidelines.
• Must have good oral communication skills and communicate effectively on the phone and in person. 
• Must be willing to adapt or adjust to accommodate the inflow of tasks and projects.
• Must be extremely organized, highly motivated self-starter with excellent attention to detail.
• Demonstrates initiative, ability to work independently and in a team setting.
• Must be detail oriented to ensure all the details are done correctly the first time around.
• Ability to multitask and navigate between platforms is a must.
• Ability to act ethically and within the guidelines of company compliance policies and code of conduct.
• Ability to meet daily productivity goals and other tasks and metrics as assignedssl