
Medical Billing Specialist
7 hours ago
We are seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our healthcare organization, you will be responsible for managing the billing process for Medicare, Medicaid, and other third-party insurance claims.
The ideal candidate will have at least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities. A strong understanding of Medicare, Medicaid, and insurance billing processes is essential for success in this role.
Key Responsibilities:
- Billing Management: Ensure timely and accurate submission of claims for Medicare, Medicaid, and other third-party insurance providers.
- Claims Processing: Review and process claims in accordance with government regulations and insurance policies.
- Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
- Compliance: Maintain compliance with regulatory standards, including HIPAA and payer-specific guidelines.
- Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies.
- Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment.
- Collaboration: Work closely with the finance department, medical records team, and clinical staff to gather necessary documentation and ensure billing accuracy.
- Reporting: Prepare regular reports on billing activity, accounts receivable status, and collections for management review.
Requirements:
- Experience: At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities.
- Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
- Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite.
- Attention to Detail: High level of accuracy in billing and documentation.
- Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members.
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