Medical Billing Specialist-ON SITE ONLY

Foothills Infectious Disease Medical Group, Inc.Claremont, CA, US

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Job Description

Description :

I AM NOT INTERESTED AT ALL IN OUTSOURCING-NO BILLING SERVICES WILL BE CONSIDERED!!!

THIS IS AN ON-SITE POSITION ONLY!

In this position, you will be responsible for submitting inpatient and outpatient claims, and providing claims follow up for any and all payers. You will need to be able to multitask and prioritize responsibilities. The Medical Billing Specialist is an essential supporter of the mission, vision and values of the organization and maintains the highest degree of confidentiality in patient and staff, fiscal and organizational matters. Understands and adheres to all HIPAA regulations and requirements.

Essential Functions

Prepares and submits clean claims to various insurance companies and payers, either electronically or on paper
Participates in identifying and resolving patient billing concerns
Corrects coding errors and resubmits claims to payers
Follow up on unpaid claims within the standardized billing cycle timeframe
Checks “superbills" for accuracy prior to entering into the system
Researches payment denials and re-submit for payment as necessary
Analyzes and processes requests for refunds and credits
Ability to answer all patient or insurance company inquiries pertaining to any account
Outstanding time management and problem solving skills
Must be well organized and detail-oriented
Provides courteous and timely assistance to internal and external customers

Requirements :

Education, Knowledge and Experience :

High School Diploma or GED required. AA degree in business or any healthcare discipline, a plus.

Minimum five (5) years’ experience as a Biller or Collector. Inpatient billing and Specialty billing, a plus Well-rounded extensive knowledge of medical terminology, billing procedures as well as CPT and ICD-10 coding

Extensive experience and knowledge in Medicare, California State Medi-Cal, Work Comp, Managed Care and other medical / health insurances reimbursement principals

Proficient in written and spoken English. Bilingual in Spanish, a plus

Data entry skills should be exceptional; skills in self-proofing essential

Ability to use critical thinking skills to interpret information furnished in written and oral form, and problem solve by researching to obtain resolute information

Sound decision making ability to prioritize tasks based on available information

Evaluates situations and requirements in order to plan and adjust work accordingly

Above average math skills to add, subtract, multiply and divide.

Software and Equipment :

Uses Microsoft Word, Excel, Outlook, Email, Internet, proficiently

Experience working with an EMR and billing software, (Office Ally experience is a plus)

Uses dedicated software to perform billing tasks. Prior experience with Office Ally a plus

Ability to learn new programs quickly

Ability to use standard office equipment

Environmental / Working Conditions :

Customary medical business office environment.

Physical Demands :

Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a computer keyboard and other standard office equipment.

This job description is intended to provide basic guidelines for meeting job requirements.

Responsibilities, skills and working conditions may change as needs evolve.

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Medical Billing • Claremont, CA, US