Medical Billing Specialist

Job Summary

This is an in-house medical billing position. The position is located at our company headquarters in Flowood, MS, billing for multiple locations. You will be joining a tight-knit and great billing team! This job will involve billing Part A and Part B.

Primary Responsibilities

·         Generally, duties include core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, billing records review, and customer service

·         Daily bill and submit Rural Health Clinic claims for all insurance companies with a goal of <1% errors

·         Daily research and resubmit corrections and appeals of front-end claims edits, clearinghouse returns, rejected or denied claims, and no response claims

·         Daily reconcile EOBs to post payments so that every day ends with a zero-balance

·         Daily maintain and update billing software information, i.e., patient information, provider information, practice information, fee/charge information, etc.

·         Routinely meet with the Billing Team Supervisor to discuss and resolve reimbursement issues or billing obstacles

·         Routinely prepare and send patient statements for service amounts such as co-payments, deductibles and coinsurance

·         As requested, reply to medical records requests, complete additional information requests, etc.

·         Perform other duties as assigned

Qualifications

Required Experience:

·         2+ years medical claims billing

·         High School Diploma or GED Equivalent

Preferred Experience:

·         Associates degree or higher

·         Certification in one of the following:

·         Certified Coding Specialist (CCS)

·         Certified Coding Specialist Physician (CCSP)

·         Certified Professional Coder (CPC),

·         Certified Professional Coder Payer (CPC-P)

·         Registered Health Information Administrator (RHIA)

·         Certified Outpatient Coder (COC/CPCH)

Skills and Competencies:

Able to:

·         Submit both paper and electronic claims as well as client invoice billing

·         Abstract clinical information from a variety of medical records, charts, and documents

·         Assign appropriate ICD-10 and/or CPT/HCPCS codes to patient records according to established procedures

·         Interpret & implement specified insurance billing guidelines

Has knowledge of:

·         Payor updates as it relates to bundling and unbundling charges, medical necessity, and general coding specifications

·         Insurance billing and system guidelines including Medicare, Medicaid, and other payors

·         Medical terminology likely to be encountered in medical claims

Excellence and experience in:

·         General computer skills

·         Microsoft Word and Excel

·         Navigating EMRs or EHRs