Billing Specialist
Remote
Job Summary
Process unpaid claims and payments efficiently using available technology to ensure physician services are billed timely and obtain highest reimbursement. Read explanations of benefits, enter charges within 24-48 hours of receipt, and make necessary changes to patient accounts. Review and work claim edits and rejections daily, then resubmit them while preparing and sending appeals. Submit copies of overpaid accounts to the Billing Manager and send accounts to collection based on practice policy. Maintain strict confidentiality of patient private health information and handle all electronic processes relating to claims submission and remit posting. Post all insurance and patient payments within 24-48 hours of receipt with daily balancing required.
Required Qualifications
- Knowledge of CPT, Modifiers, and ICD-10 codes
- Ability to read and understand explanations of benefits
- Ability to assure all charges are entered within 24-48 hours of receipt from the physicians/providers
- Ability to assure all claims are sent electronically on a daily basis
- Ability to review and work claim edits and rejections on a daily basis
- Ability to post all insurance and patient payments within 24-48 hours of receipt
- Ability to work all denials at the time of receipt
- Ability to prepare and send appeals
- Ability to begin insurance follow-up at 31 days for claims
- Ability to answer telephone calls regarding all medical billing inquiries
- Ability to maintain strictest confidentiality of patient private health information (PHI)
- Ability to handle all electronic processes relating to claims submission, remit posting etc.
- Ability to scan all practice records received to client folders on the company network drives
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