Medical Billing Specialist

• Gather all information necessary to process consumer insurance claims; ensure billing accounts, patient demographic and insurance information are set up and entered accurately
• Prepare and analyze reports, ensuring billing deadlines are met; identify root causes of the claims not being paid on time
• Lead meetings with cross-functional teams regarding consumer liability accounts; resolve billing and payment issues as needed
• Monitor, track, and report on self-pay balances using the billing system; identify issues, and recommend necessary actions
• Post 835 payment files to the billing system and edit any unmatched payments to post
• Research and resolve billing discrepancies; resubmit rejected and denied claims if necessary, working with payers to resolve outstanding claims issues as needed
• Audit file submissions and work through any variances, collaborate with management team as needed
• Perform other duties as assigned

• 3-5 years in medical billing field; Knowledge/experience working with billing and payment cycles for medical accounts required
• Experience analyzing accounts receivable reports is strongly desired
• Strong data entry skills required; must possess exceptional attention to detail and prioritization skills
• Working knowledge of insurance processes and terminology, including an understanding of EOBs, copays, coinsurance, deductibles, spenddowns, denial codes, and cost shares is required
• Experience working with Medicaid, private insurance, insurance verification, authorization and reimbursement required
• Strong organizational, communication and analytical skills
• Proficient in MS Office (particularly Excel) and medical billing software, with ability to work across multiple spreadsheets and systems
• Ability to multi-task in a changing and fast paced environment

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