Under the direct supervision of the Billing Administrator, the Medical Billing Specialist is responsible for reviewing and analyzing claim denials, working with payers to resolve denials, tracking all denials by payer and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denials. Primary responsibilities will include contacting patients for updated insurance information or COB information, answering patient calls regarding billing and EOB questions and special projects as assigned.
Must have a MINIMUM of one year's experience in a comparable role.
Must have knowledge of A/R, CPT and ICD 10 billing, collections, Medicare/Medicaid and Commercial insurance claims, electronic submissions, EMR data and privacy regulations with strong written and verbal skills in addition to the ability to multi-task /prioritize work.
Salary is based on qualifications and experience. The position is Monday through Friday from 8:00 AM to 4:00 PM.
This opportunity provides the following:
Job Type: Full-time