Billing Specialist

Medical Billing Specialist Home Health and Hospice Job Description

Remote and/or On-Site

General:

A qualified and dedicated medical biller responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. Daily duties will include maintaining billing software, pre-authorizations, appealing denied claims, and recording late payments.

Medical Biller Responsibilities:

• Preparing and submitting billing data and medical claims to insurance companies.
• Ensuring the patient’s medical information is accurate and up to date.
• Preparing bills and invoices, and documenting amounts due for medical procedures and services.
• Collecting and reviewing referrals and pre-authorizations.
• Monitoring and recording late payments.
• Following up on missed payments and resolving financial discrepancies.
• Examining patient bills for accuracy and requesting any missing information.
• Investigating and appealing denied claims.
• Helping patients develop patient payment plans.
• Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.

Medical Biller Requirements:

Knowledge of billing software and medical insurance policies. Able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Past experience with Matrix Care/Brightree, Ability and Medicare DDE.

• Bachelor’s degree in business, HealthCare administration, accounting, or a relevant field.
• A minimum of 2 years of experience as a medical biller or similar role.
• Solid understanding of billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities

Knowledge, Skills & Abilities Required:   

• In depth knowledge of healthcare industry billing. 

• Detail oriented with strong organization, analytical and problem-solving skills. 

• Proficient with software and systems. 

• Excellent communication and interpersonal skills. 

Working Conditions & Physical Effort:   

• Work is normally performed in a typical interior/office work environment. 

• Ability to work flexible schedule and/or evening hours as needed. 

• Sits most of the time; infrequent to occasional walking or standing. 

• Ability to sit in front of CPU for long periods of time. 

• Physical activity is sedentary and may require occasional lifting or carrying up to 10  

            lbs. 

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