Medical Billing Specialist
Remote
Full time
R1168
The Medical Billing Specialist is responsible for providing selective medical billing services to a variety of clients within the post-acute healthcare industry, including nursing, retirement communities, home health and hospice facilities. They handle third-party billing and any denials after the claim is submitted while providing excellent client service.
Success Factors
Responsibilities
Train with Medical Billing Senior Specialist and Manager to learn billing procedures and claim follow-up on the numerous systems clients utilize
Establish collaborative working relationship with Medical Billing Senior Specialist and Manager to assist with any client needs that arise
Learn and understand Medicare, Managed Care, and Medicaid regulatory billing practices
Review claims against medical documentation provided by clients to ensure clean claims are submitted to the appropriate third party payer
Communicate with Medical Billing Senior Specialist and Manager when claims require additional information prior to submission
Complete coinsurance billing to appropriate secondary or tertiary insurances
Stay abreast of current medical coding and billing issues, trends and changes in the laws and regulations in order to make recommendations for changes in policies and procedures
Investigate, manage and resolve medical claims in accordance with established requirements and procedures
Consistently follow up on unpaid claims using monthly aging reports
Analyze accounts and investigate claims that have been returned, denied or have balance inaccuracies
Communicate with Medical Billing Senior Specialist and Manager on troublesome accounts receivable balances
Provide timely and high quality service to meet and exceed client expectations and perform research on projects as needed
Take initiative to understand and apply available resources and appropriate guidance and policies
Organize facts, analyze and interpret information according to client circumstances
Other duties as assigned
People Management/Relationships
Take initiative to be a team lead (proactively seek opportunities to help others)
Treat everyone with respect
Develop loyalty and trust within the team
Successfully adapt to different personalities and working styles
Proactively and effectively communicate information regarding status issues to team members
Hold self and others accountable for assigned work; seek and provide continuous feedback to learn and develop in role; open to new ideas and suggestions
Business Growth (if applicable)
Possesses an understanding of RKL’s business (service lines, competitors) and client service capabilities and the impact of technology upon the firm’s growth and success
Qualification
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Required Skills
Excellent organization skills and strong attention to detail
Multitasker with the ability to prioritize work accordingly
Excellent verbal and written communication skills with strong client service focus
Strong analytical and interpersonal skills
Ability to work autonomously under the pressure of tight deadlines and multiple priorities
Ability to research and analyze data and resolve issues; read and interpret medical terminology
Education, Experience and Certifications
High school diploma or equivalent (GED); Associate’s degree and medical billing certification a plus
1+ year experience in an administrative function, preferably within the health care field
Strong knowledge of Microsoft Office suite products and technology-savvy individual
Essential Functions
Regularly required to perform manual tasks, concentrate, think, learn, communicate, sit, stand, walk, use hands and fingers, grasp, handle or feel objects, reach with arms, talk and hear
Must be able to remain in a stationary position as needed
The person in this position needs to occasionally move about inside the office and on site at client locations, stoop, kneel, crouch, push and pull
Vision abilities required include close vision, distance vision and the ability to adjust focus.
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer
Ability to communicate in a professional manner and exchange information with internal and external actors as needed
Ability to lift/carry up to 20 pounds
Ability to work outside of normal business hours and weekends as needed
Ability to travel to local and non-local clients and events as needed, overnight travel may be required
This job description is subject to change at any time and employee will be given additional responsibilities as assigned
Salary Range: $20.00 - $25.00
