Medical Billing Specialist

Sidra -
Heliopolis, CairoPosted 3 years ago

98Applicants for11 open positions

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Perform posting charges and completion of claims to payers in a timely fashion
Convert dosages to billable units
Submit billing data to insurance providers
Work claims and claim denials to ensure maximum reimbursement for services provided
Perform Medicare/Medi-Cal reviews and audits
Implement, maintain and report on programs initiated by the practice
Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances.
Reviewing accounts for insurance of patient follow-up.
Researching and appealing denied claims.
Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Setting up patient payment plans and work collection accounts.
Updating billing software with rate changes.
Updating cash spreadsheets, and running collection reports.

Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
A minimum of one to three years of experience in a medical office setting.
Strong knowledge of MS Access
Knowledge of insurance guidelines
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
A calm manner and patience working with either patients or insurers during this process.
Knowledge of accounting and bookkeeping procedures.
Knowledge of medical terminology likely to be encountered in medical claims.
Ability to work independently and collaboratively within a team environment
Able to multi-task and meet tight deadlines