Medical Billing Specialist
On-sitePeoria, Arizona, United States
Job Summary
Verify claim accuracy before submission, review denials to maximize reimbursement, and research appeals for denied claims. Post insurance payments, enter charges, and assist patients with account inquiries while maintaining strict confidentiality under HIPAA. Utilize aging accounts receivable reports to follow up on unpaid claims over 30 days and initiate late payment notices for delinquent accounts. Identify and bill secondary or third-party insurances, read insurance explanations of benefits, and respond to inquiries from patients and providers. Follow all Medicare, state program, and HMO/PPO regulations while meeting department goals and activity metrics.
Required Qualifications
- High School Diploma or Equivalent
- Must be able to lift up to 15 pounds at times
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
- Proficient in Microsoft Word, Outlook, Excel, and 10 key calculators
- Basic knowledge of medical terminology, including CPT/ICD-10 coding
- Knowledge of medical terminology likely to be encountered in medical claims
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
- Planning and organizing
- Attention to detail, accuracy, and efficiency
- Problem-solving
- Teamwork
- Multitasking
- Customer service
- Electronic Medical Records (EMR)
- Communication skills - verbal and written
- Integrity
Desired Qualifications
- 2+ years medical billing experience
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