Medical Billing Specialist

Posted 9 days ago

healthcare recruiters internationalWinooski (VT)

Billing and Posting Clerks Offices of Physicians (except Mental Health Specialists)

SENIORITY

Senior

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About the role

Medical Billing Specialist – RemoteRemote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols.

Responsibilities: Learn and become proficient with the premiere pediatric system in the industry- Physician's Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from patients regarding benefit coverage and making payments. Consult with the practice manager, front desk staff and providers on a regular basis to implement and maintain quality assurance, optimal billing procedures and client satisfaction.

Qualifications:

Minimum 4 recent years of medical (physician services) billing
Knowledge of insurance payment posting, demonstrated use of CARC codes and denials
Experienced in navigating payer websites for policies and rules, as well as conducting general online research
Working knowledge of medical terminology, anatomy and physiology
Strong communication and interpersonal skills
Demonstrated comfort with computer technology

Established proficiency in or ability to quickly become proficient in the Google Workspace (G-Suite): Gmail, Google Drive, Docs, Sheets, Meet, etc. Strong time management and customer service skills Strong attention to detail and follow through, able to multitask Demonstrated ability to self-manage Ideal Characteristics Passion for achieving excellence Works with a blend of quality, speed, and accuracy Able to work independently and on a team Effective and efficient with problem solving Motivated learner who is able to grow through challenges Familiarity with the proper use of ICD-10, CPT, HCPCS coding rules Knowledge of Medicare's National Correct Coding Initiatives edits Pediatric or Primary care billing experience Prior experience working remotelyAAPC, CPC medical coder certification Additional Requirements for Remote StaffThis position is intended for candidates who reside out of state or outside of a reasonable commuting range. Local candidates are invited to apply for an onsite Medical Billing Specialist position. A private and distraction-free workspace for HIPAA compliance

Benefits:

Health, vision and dental insuranceCTO accrued from the 1st day of employment, beginning with 2 weeks6 paid holidays with 5 additional paid days during Thanksgiving and winter holiday period3 paid days for personal emergency
Paid time off for volunteer community service
Paid parental leave
Employee retirement account with 3% matching

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