Medical Office Specialist

Comprehensive Sleep Solutions & Diagnostic Center is a company in Southfield, MI 48034.

We are looking for an Medical Office Specialist/Assistant Medical Biller in our office in Southfield. Must be detailed oriented, strong computer skills, 2 yrs experience in healthcare billing preferred but not required. Position includes status claims, working claim denials, correcting claim denials, EOB posting/posting claims, mailing in proof of timely filing to insurance companies when needed, getting prior authorization to correct claim denials if needed, A/R reduction, and other tasks as assigned.

DUTIES:

• Status claims
• Processing claims to get paid by working with insurance companies, healthcare providers, and patients.
• Reviewing and appealing unpaid and denied claims
• Handling collections on unpaid accounts
• Post Payments
• Managing the facility's Accounts Receivable reports
• Answering patients billing questions
• Greets patients and visitors in a courteous and friendly manner.
• Screen calls, arranges appointments and referrals.
• Prepares new records, re-files, and maintains records.
• Type correspondence, reports, memos, and forms.
• Some transcription of medical notes.
• Verify insurance benefits and document on bottom of sheet
• Call patient to schedule sleep study, explain insurance benefits and
• deductible required.
• Contact referring physician via fax verification of scheduled sleep study.
• Enter appointment into computerized schedule and/or hard copy schedule.
• Mail patient packet and document on Patient Packet Sheet.
• For patients that have had a titration sleep study contact patient in 1 week after faxing information for pap equipment setup to ensure they received and to note any information to provide to Medical Director.
• Insurance Verification prior to scheduling patients for appointments.
• Schedule and order patient's PAP equipment and PAP supplies.
• Prepare the Sleep Rooms for the night or day sleep studies sanitizing and cleaning, prep and clean the restrooms and other light janitorial duties at the beginning of your shift.
• And other duties.

QUALIFICATIONS:

• Previous medical receptionist experience or background in general office work preferred.
• Ability to comprehend established office routines and policies.
• Learns quickly from oral and written instructions.
• Ability to keep insurance records and performs mathematical tasks.
• Knowledge of medical terminology.
• Understand the ethics of confidentiality.
• Good organization skills and good health.
• Tact and diplomacy.
• Previous public contact work.
• HIPAA Trained
• Sleep Clinic Experience Preferred but not required.