Medical Billing Specialist (ZR_27389_JOB)

The billing and coding Specialist will have strong attention to detail and analytical skills. The successful candidate will have a strong working knowledge of revenue cycle management and have a proven track record working in a healthcare practice environment in accounts receivable.

• Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
  
• Analyze excel spreadsheets and raw data.
  
• Denial management process
  
• Telephone insurance carrier/patient to seek resolution on accounts.
  
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
  
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from the payer.
  
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
  
• Identify trends in payer non-compliance and inform management if not able to resolve with payer.
  
• Negotiate within specified guidelines with payers.
  
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
  
• Follow up with appropriate staff to locate missing information.
  
• Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors.
  
• Maintain necessary logs
  
• Participate in departmental meetings as necessary.
  

• Proven experience as a Medical Billing Specialist.
  
• Knowledge of insurance policies, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  
• Familiarity with medical terminology and experience with healthcare billing.
  
• Proficiency in medical billing software.
  
• Strong attention to detail and commitment to accuracy.
  
• Excellent communication and problem-solving skills.
  
• High school diploma; certification in medical billing or a related field is a plus.
  

Independent Contractor Perks

• HMO Coverage for eligible locations
  
• Permanent work-from-home
  
• Immediate hiring
  

Requirements