Job Detail

Medical Biller (AR Collections Specialist) will process encounters for services provided by medical providers on a daily basis. Medical Biller (AR Collections Specialist) will also be responsible for billing clean claims daily to payers via electronic or hard copy submissions in a timely and accurate manner keeping up with department and billing standards. This position is responsible for processing a variety of payers such as Medicare, HMO’s, and private insurances. Additional duties include reconciling encounters against daily logs, identifying any and all missing encounters, and follow-up on unpaid claims within 30 days of claim submission.

Functions and Responsibilities:

• Reconcile encounters against daily log to ensure every visit is billed.
• Review each claim to ensure that all insurance requirements are accurate before submitting to minimize denials and ensure prompt reimbursement.
• Post and send out billing to payment source within 48 hours of visit.
• Research CPT and ICD codes in order to bill accurately.
• Making calls to various insurance companies for clarification on billing policies if uncertain.

• Qualifications and Key Competencies:
• Organizational Skills: Candidate must be detailed oriented and have good analytical and organization skills. Experience in effectively billing for various state funded programs needed. Candidate must have the ability to work in a fast paced environment.
• Primary Role: The primary role of the Medical Biller (AR Collections Specialist) is to oversee claim submission and oversee and manage insurance payments and denials. Excellent time management skills are a must.
• Certifications and Experience: Certified Medical Billing Specialist Certificate (CMBS), or similar certification, preferred. Minimum 5 years of medical billing experience required.
• Problem-Solving Skills: Candidate must possess abilities to problem solve, prioritize, and follow-through completely with assigned tasks. Candidate must possess analytical skills to examine billing information for accuracy and completeness.
• Software Experience: Competency in Practice Management systems, Clearinghouse systems, and demonstrated accuracy in claim processing (less than 2% error rate) is required. Candidate must demonstrate ability to report our daily claim trends, identify and report out process interruptions, and be competent in peer-to-peer communication.
• Communication: This position may be responsible for autonomously communicating with clients and candidate must demonstrate ability to professionally and independently communicate appropriately (both verbally and in writing).
• Knowledge:
• Knowledge of healthcare revenue cycle
• Knowledge of CPT and ICD-10 coding
• Knowledge of insurance companies and their rules and allowables
• Knowledge of medical terminology
• Knowledge of HIPAA and other applicable state/federal requirements
• Knowledge of applicable state collection laws
• Technology skills:
• Basic computer skills including Word and Excel
• Internet navigation
• EMR/EHR software experience

Job Type: Full-time

Pay: Up to $22.00 per hour

Benefits: