Medical Billing A/R Specialist

Responsible for billing operations for dermatology office

The medical billing and collections specialist and supervisor is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. A/R is the key skill we are seeking.

In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

MAJOR DUTIES & RESPONSIBILITIES:

• Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication;
• Responsible for correcting, completing, and processing claims for all payer codes;
• Analyze and interpret that claims are accurately sent to insurance companies;
• Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;
• Process appeals online or via paper submission;
• Assist in reconciling deposit and patient collections;
• Assist with billing audit related information;
• Process refund requests;
• Process billing calls and questions from patients and third party carriers;
• Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.;
• Identify trends, and carrier issues relating to billing and reimbursements and report findings
• Research, record findings, and communicates effectively with CFO/CEO to achieve optimum performance;
• Pursue and participate in education to remain current with changes in the Healthcare industry;
• Maintain patient confidence and protects medical office operations by keeping patient information confidential;
• Contribute to team effort by accomplishing related results as needed;
• Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Life insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• Associate (Preferred)

Experience:

• Medical billing: 1 year (Preferred)

Work Location: In person