Position Summary:
The primary responsibility of the Medical Billing Specialist is to assist our clients in collecting payments from the insurance companies for the medical services rendered to their patients. Secondary responsibilities may include charge entry, payment posting, and customer service.
Job Details:
Medical Billing Specialist
Work from home
Monday to Friday| 8 AM to 5 PM (EST)
Responsibilities:
- Creating batches and post-received payments.
- Identifying underpayments and preparing documents for appeals.
- Code claims accordingly with CPT and ICD 10s codes.
- Post charges to create a claim and submit it to our clearinghouses.
- Review or update claims corrections and upload required documents in our clearinghouse portals.
- Contact patients, providers, and payers to check eligibility, pre-cert, or follow up on claims/appeals.
- Perform other duties assigned by the management.
Qualifications:
- At least 2 years’ Experience in a similar role.
- Effective oral and written communication skills
- Knowledge of medical billing codes, including CPT, claims modifiers, and ICD-10 diagnosis coding.
- Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools.
- Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto
- Ability to read and interpret EOBs (Explanation of Benefits)
- Experience with coordinating with insurance companies.
- Strong adaptability and ability to learn quickly.
- Proven efficiency and punctuality in completing tasks.