Medical Insurance Billing Specialist

Busy Medical office with 3 locations, We are seeking an experienced and reliable “Insurance Specialist/Biller.” Ideal candidate will have 3+ years’ experience in a medical business office. Must be self-motivated, detail oriented, have strong customer service skills, professional phone etiquette and comfortable working in a fast-paced environment as part of a team.

Qualifications:

Strong understanding of EMRs, eClinicalWorks, Athena, knowledge a PLUS

Familiar with Microsoft Excel and Word.

Knowledge of correct coding guidelines. Familiar with CPT/ICD-10 codes, correct use of modifiers, place of service and type of service codes.

Ability to Review/Audit progress notes and results against claims to ensure that claims accurately reflect services rendered.

Knowledge of common billing practices for ancillary services such as laboratory, diagnostic imaging, and other in office procedures.

Familiar with Claim Submission processes for payment from Primary, Secondary, and Tertiary payers.

Familiar with Manage Health Care plans, Medicare/Medicare Advantage health plans; and comfortable navigating Payer web sites to obtain plan specific information. (Insurance Verification/Claim Status/Reimbursement Guidelines, etc.)

Must be self-disciplined and capable of identifying and completing critical tasks independently and timely including follow up on outstanding account receivables, reviewing denials and determining necessary action or appeal to achieve claim resolution.

Must be comfortable talking with and educating providers and staff regarding coding and billing changes.

Must possess strong communication skills and ability to provide excellent patient customer service to assist in resolving patient claim disputes and account issues.

Responsibilities:

Charge Entry/Charge Capture

Denial Management and Correspondence

Claim Submission (Primary/Secondary/Tertiary)

A/R follow up

Appeals

Cash Application included Managed Care Adjustments

Insurance Verification

Patient Collections

Patient Account Inquiries

Review/Process overpayment requests from both patients and insurance

Be part of an AWESOME TEAM!!

We offer a competitive benefits package which includes medical, dental, and vision insurance, short and long-term disability, life insurance and paid time off and 401(k).

Wage will be discussed at the time of the interview.

Job Type: Full-time

Pay: $14.00 - $17.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance
• Life insurance
• Paid time off

Schedule:

• 4 hour shift
• 8 hour shift
• Monday to Friday

Work setting:

• Medical office

Ability to Relocate:

• Houston, TX 77099: Relocate before starting work (Required)

Work Location: In person