An established RCM company is seeking an experienced Medical Billing Specialist, who has a diverse knowledge with multi-specialty, to provide revenue cycle management services for independent physicians and group practices.
Maintenance of data files received from client in an organized fashion.
Submission and verification of electronic insurance claims.
Editing of electronic insurance claim denials for resubmission.
Production and mailing of paper claims w/ necessary attachments.
Processing of appeals to facilitate claim denials.
Production and mailing of secondary claims with EOBs attached.
Production and review of electronic patient statements.
Coordination of patient account collection agency activity.
Posting and balancing of payments received.
Processing of patient and insurance refunds.
Processing of returned patients checks.
Working the aged accounts receivable report to follow up on past due claims.
Production of end-of-month financial reports for managerial review.
Production of specialty requested reports as needed.
Providing telephone/email support for physicians and patients as needed.
Must have two years of applied experience in health care billing.
Knowledge of Medicare, Medicaid and Private Insurance billing regulations preferred.
Strong computing and software skills (PC, MS Word, Excel, Outlook)
Solid written and verbal communication skills.
Knowledge of ChartMaker Practice Manager software a plus.