Medical Billing Specialist

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

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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.  

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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 & 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