Information about: MEDICAL BILLING SPECIALIST in San Pedro

Company looking for MEDICAL BILLING SPECIALIST

Nuevo León, Mexico

Offer description

Job Description: ·Obtaining referrals and pre-authorizations as required for procedures. ·Checking eligibility and benefits verification for treatments. ·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.

Applicant description

Education and Experience Required ·8 or more years of business experience ·Degree in Business Administration, Accounting, or Health Care Administration preferred. Knowledge, Skills, and Abilities Proficiency in the following areas is preferred: ·Accounting and bookkeeping procedures ·Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. ·3 years of experience in a medical office setting. ·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 medical terminology likely to be encountered in medical claims. ·Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). ·Ability to multitask.