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Medical Billing Specialist

Full time ChartLogic in Healthcare
  • Medsphere’s Mayfield Heights (Cleveland), OH View on Map
  • Post Date: November 26, 2019
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Job Detail

  • Career Level Entry Level
  • Experience 5 Years
  • Education Certificate

Job Description

Primary Position Duties

  • Process physician charges for office, hospital and nursing home services.
  • Process electronic and manual payments and adjustments from insurance companies and patients.
  • Prepare and submit clean claims to various insurance companies either electronically or on paper.
  • Review account status, making recommendations to the practice for collection turnover or account adjustment.
  • Evaluate patient’s financial status and establish payment plans.
  • Answer billing inquiries from patients, practice staff, and insurance companies.
  • Identify and resolve patient billing issues.
  • Maintain strict confidentiality in accordance with HIPAA guidelines and regulations.

Qualifications

  • From five to ten years’ of progressively responsible experience with medical billing and coding, ERA and manual payment posting, claim review and RCM policies and procedures.
  • Working knowledge of Medicare, Medicaid and Workers’ Compensation Part B claim processing and payment posting.
  • Ability to establish and maintain accurate and complete records concerning billing activity.
  • Strong understanding of and experience with HCPCS and ICD systems.
  • Excellent interpersonal skills to work with others to influence and gain cooperation.
  • Ability to work independently, with little direction required.
  • Ability to recognize, evaluate, and solve problems.
  • Strong verbal and written communication skills.
  • Extensive knowledge of the claims development process, as well as third party insurance program requirements.
  • Ability to handle a variety of tasks with speed, attention to detail, and accuracy.
  • Computer literate, experience with basic software packages, specifically Word, mail merge, and Excel.
  • Data entry capability (50 wpm).
  • Experience using AdvancedMD billing software a plus but not a requirement.

Education

  • High school diploma or GED. Some college coursework, coding coursework/certification is preferred.

These positions are in Medsphere’s Mayfield Heights (Cleveland), OH, and Chesterfield (St Louis), MO, office locations.

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