Now Hiring
Medical Billing Specialist
Reporting to the Billing Supervisor, our Medical Billers are responsible for maintaining appropriate levels of reimbursement, cash flow and days in accounts receivable for assigned accounts on a monthly basis.
Education and Knowledge
- High school degree or equivalent
- Specialized training: CMBS Certificate preferred
- Microsoft Office experience required
Experience
- 1 – 2 years data entry
- 3 – 5 years medical billing
Skills and Abilities
- Ability to exercise judgment to solve problems as they relate to assigned accounts in concert with the values of Practicefirst.
- Ability to establish and maintain collaborative working relationships with clients, office personnel, coworkers, and peers at carriers.
- Ability to communicate effectively and at a high level (e.g. with Physicians).
- Effective communication skills necessary for internal and external contact.
- Possess superb time management and organizational skills with the ability to prioritize.
- Proficiency with Microsoft Office and applicable software.
Key Responsibilities and Accountabilities
- Ability to exercise judgment to solve problems as they relate to assigned accounts in concert with the values of Practicefirst.
- Ability to establish and maintain collaborative working relationships with clients, office personnel, coworkers and peers at carriers. Ability to communicate effectively and at a high level (e.g. with Physicians).
- Effective communication skills necessary for internal and external contact.
- Possess superb time management and organizational skills with the ability to prioritize.
- Proficiency with Microsoft Office and applicable software.
- Verifies the accuracy of billing data and reviews internal reports to determine errors causing denial of claims; responsible for correcting information and re-submitting claim with the goal of getting the claim paid correctly and as soon as possible including preventing errors initiated by Clients, coding department or data entry staff from recurring.
- Refers to and reviews client specific instructions as identified on the “Doctor Info Worksheet,” and notifies Billing Supervisor and/or Billing Manager of any changes.
- Acts proactively to identify changes that may impact Client’s account including cash flow, changes on payer allowances, etc.
- Consistently applies all client and PF compliance policies (e.g. small balance write off, refunds, collections, payment plans, returned accounts, etc.)
- Accurately posts or reviews posted payments, rejections and contractual allowances from Third Party Payers and Patients in a thorough and consistent manner.
- Provides assistance and directs data entry & payment posting staff, referring questions and problems to a higher level as appropriate. Seeks assistance as necessary from Team Lead.
Handles inquires and correspondence from patients, clients and insurance companies in a professional and timely manner. - Ensures balancing process is performed efficiently and accurately.
- Refers delinquent accounts/encounters to office or collection agency.
- Respects and protects the confidentiality of all patient, client and Company information.
- Assumes other responsibilities as requested.
Pay and Benefits
- $19 – $21 per hour
- Annual reviews and regular feedback
- Flexible starting salary based on relevant experience
- Health Insurance, 401(K), HSA
- Flexibility and great PTO package
- A supportive team environment
- Must train and work on-site for 1-3 months, with the option to continue working hybrid or remote
- Growth opportunity if desired by the employee
- Annual performance driven profit sharing payout
