JOB TITLE:  Medical Billing Specialist

An established RCM company is seeking an experienced Medical Billing Specialist to provide revenue cycle management services for independent physicians and group practices. 

RESPONSIBILITIES INCLUDE:
• Maintenance of data files received from client in an organized fashion.
• Submission and verification of electronic insurance claims.
• Editing of electronic insurance claim denials for resubmission.
• Production and mailing of paper claims w/ necessary attachments.
• Processing of appeals to facilitate claim denials.
• Production and mailing of secondary claims with EOBs attached.
• Production and review of electronic patient statements.
• Coordination of patient account collection agency activity.
• Posting and balancing of payments received.
• Processing of patient and insurance refunds.
• Processing of returned patients checks.
• Working the aged accounts receivable report to follow up on past due claims.
• Production of end-of-month financial reports for managerial review.
• Production of specialty requested reports as needed.
• Assisting clients with credentialing issues and fee schedule renegotiation.
• Providing coding guidance as needed (CPCs on staff)
• Providing telephone/email support for physicians and patients as needed.

JOB REQUIREMENTS:
• Must have two years of applied experience in billing, health care field preferred.
• Knowledge of Medicare, Medicaid and Private Insurance billing regulations preferred.
• Strong computing and software skills (PC, MS Word, Excel, Outlook)
• Solid written and verbal communication skills.
• Knowledge of ChartMaker Practice Manager software a plus.

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