Medical Billing Specialist

Position Summary

Responsible for working Medicare & Medicaid accounts, posting payments manually. Support for various billing departments. 

Duties and Responsibilities include but are not limited to:

• Responsible for downloading Medicaid explanation of benefits and posting those payments also identifying those denied claims, making the correction and rebilling them.
• Responsible for requesting refunds to accounts payable department.
• Responsible for working patients accounts.
• Responsible for calling patients on aging accounts and making payment arrangements.
• Responsible for assigned provider aging accounts.
• Entering the data for the EKG’s.
• Supporting Data Entry and Hospital Billing Clerk in their absence.
• Performing related work as required or requested by providers or administrator.
• Practice and adhere to HIPPA regulations.

Qualifications and specifications:

• Education-high school diploma and some college preferred.
• Knowledge of basic office equipment including copier, fax machine and computer.
• Experience-minimum of one to two years in insurance, Medicare, Medicaid and collections.
• Skills in greeting patients and answering phones in a helpful manner.
• Ability to speak clearly and concisely.
• Skills in dealing with interpersonal issues and patient relations.
• Ability to handle multiple priorities at once with minimal supervision.
• Knowledge of medical terminology.
• Ability to maintain confidentiality of patient information.

Employees are expected to:

• Understand the mission and vision of the clinic.
• Operate within the concept of patient focused care.
• Evolve into an effective team leader.
• Adhere to attendance policies.
• Conform to employees’ policies and office procedures.

This description is intended to provide only basic guidelines for meeting job requirements, responsibilities, knowledge, skills abilities and working conditions may change as needs evolve.

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