Job Description

Medical billing specialist consist of using CPT codes to assemble and coordinate reimbursement claims for third-party payers. Medical billing specialist interact with insurance companies and with patients to ensure accurate, streamlined billing and payment.

Duties & Responsibilities

• Receiving patient treatment codes to use in assembling reimbursement claims
• Creating reimbursement claims and transfer to third-party payers
• Coordinating reimbursement activities with payers
• Billing patients for medical services
• Check eligibility and benefit verification
• Review patient bills (Statements) for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Answer billing inquiries from patients – resolve complaints
• Set up patient payment plans and work collection accounts
• Review and process refunds

Job Type: Full-time
Pay: $20 - $23/hr starting (negotiable based on experience)
Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office

Ability to commute/relocate:

• Coral Gables, FL.  Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Preferred)

Job Tags

Full time, Contract work, Relocation, Shift work, Day shift, Monday to Friday,

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