Healthcare Billing Specialist

Description

Healthcare Billing Specialist

Experienced Billing Specialist to work on a team to submit claims, post payments & adjustments, rebills, EDI claim submissions, auditing claims, etc.

Responsibilities:

• Work collaboratively to determine billing inconsistencies, workflow discrepancies, and develop work plan for correction.
• Work collaboratively to clean claims prior to batching.
• Prepares and submits claims to insurance companies and third party payers such as Medicare, Medicaid, MCOs across 20+ states.
• Process denied claims.
• Prepare client invoices and monthly statements as needed.
• Obtain and post payments through EOBs or 835 electronic files.
• Understand how to read and interpret EDI files.
• Consistently apply Best Practice workflows for pre-billing, batching, and posting.
• Maintains confidentiality; adheres to all HIPAA guidelines/regulations.
• Other Duties as assigned

Requirements

Qualifications:

• Previous medical billing experience along with knowledge of billing related reporting; 3 - 5 years’ experience in health-care billing & collection practices (or advanced degree in Healthcare Administration, etc plus one or more years of relevant experience).
• Experience working with medical payers such as Medicare, Medicaid, commercial insurances
• Working knowledge of medical billing systems/software.
• Experience with Medicaid’s State Eligibility Systems (various states).
• Working knowledge of CPT and ICD-9/ICD-10 coding systems; Coding certification preferred.
• Requires up to 50% - 60% Travel for the role
• BA/BS preferred

Benefits

Direct/permanent position. Salary + great benefits.