Medical Billing Specialist- Certification Required

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

About the position

Examine claim submissions daily for accuracy and completeness, working claim rejections to successful submission.
Evaluate and audit accounts to determine the status and appropriate action required to receive the correct payment.
Document follow-up properly in practice management systems.
Research and follow-up on denials in Availity and escalated denials in NextGen utilizing denial management reports and communication.
Receive, review, and respond to communication from insurance companies.
Use websites, phone, and/or correspondence to contact payers regarding reimbursement for unpaid accounts.
Contact clients or internal partners to collect information necessary for submission and payment of claims.
Work together with management to identify payer trends and non-payment issues.
Identify, verify, and document account adjustments according to policy and procedure.
Make sure service level and productivity requirements are met as they relate to reimbursement of accounts, resolution of tasks, and response to inquiries, etc.
Improve and maintain positive working relationships and partner with internal and external customers by providing superior customer service.
Assist with claim implementations for assigned clients, as needed.
Perform periodic audits to reconcile claims and accounting billings.
Other duties as needed.

Minimum of 1-2 years of experience in medical billing and denial management.
CRCR or CPC certification is required.
Laboratory Billing experience required.
Working knowledge of medical billing terminology, such as CPT and ICD-10 codes.
Thorough knowledge of the healthcare revenue cycle and payer processes.
Proficient in Microsoft Excel and Office Suite.
Detail-oriented with a focus on quality and consistently meeting goals.
Experience with NextGen, Availity, or other healthcare practice management systems.
Strong organizational and analytical skills.