Medical Billing Specialist

Medical Billing Specialist

The Medical Billing Specialist is responsible for the timely follow-up of claims billed and the resolution of accounts. Oversees the account receivables and maintains detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc. Review, document and resolve all incoming correspondence and payor calls; assist as needed on aging reports, reports all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments as needed.

Essential Functions

• Review billing claim forms to ensure fields are accurately populated and aligned.
• Identify and return incomplete claim information and/or supporting documentation to meet payor requirements.
• Initiate contact and respond to inquiries from various external sources.
• Comply with all government and third-party payers, regulatory mandated requirements for billing collects and PHI.
• Answer questions and assist AR regarding billing issues as needed.
• Ability to maintain confidentiality of all information under HIPPA guidelines.
• Meet departmental productivity and quality standards in time frame given upon completion of training.

Skills

• Medical Billing and Coding
• Reimbursement
• Billing Operations
• Medical Billing Software
• Insurance Claims Processing
• ICD Coding
• Patient Care
• Medicare Billing

Physical Requirements

See, read/or operate computers, telephones, office equipment, documents, labels including manipulating paper requiring the ability to move fingers and hands.

Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone or other equipment.

Frequent interactions with associates and patient care providers that require associate to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately particularly during emergency situations.

Location

Valley Center Tower

Work City

Murray

Work State

Utah

Scheduled Weekly Hours

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.93 - $27.45