
Medical Billing Specialist
6 days ago
Ge Solutions is looking for a skilled Medical Biller Specialist to join their team. This role is responsible for collaborating with ancillary departments in insurance payments, entering charges for surgeries and other services, assisting patients with their accounts and health claims related to follow-up, denials, and appeals.
Main focus is on billing insurance follow up.
- Confirming proper documentation in the facility's billing system.
- Ensuring accurate and timely preparation and submission of billing information and posting payments received.
- Calling insurance companies regarding any discrepancy in payments if necessary.
- Preparing, reviewing, and transmitting claims using billing software.
- Ensuring all claims are submitted with a goal of zero errors.
- FOLLOWING PROPER MEDICAL AND INSURANCE CLAIM PROCESSES.
- Monitoring unpaid claims and following up or re-billing as needed to ensure timely payment.
- Assisting the lead medical biller and fellow billing staff in submitting accurate claims.
- Reviewing claims, invoices, sorting claims by primary and secondary insurance and accessing patients in the system to identify necessary attachments.
Required Skills and Qualifications:
- Effective communication in English; both oral and written.
- General knowledge of federal payer program regulations and guidelines.
- Interpreting a variety of communications (verbal, non-verbal, written, listening and visual).
- Knowledge of medical billing practices and of billing reimbursement.
- Maintaining confidentiality, discretion and caution when handling sensitive information.
- Proven working experience in same industry for at least a year.
- Accurately performing simple mathematical calculations.
- Sense of urgency and responsiveness to physicians, location employees and patients.
Technical Abilities:
- Excellent email transmission and written/verbal communication skills.
- Internet navigation and research.
- Microsoft applications; Word and Excel.
- Familiarity with Electronic Health Record System or Patient Management Software, Office Ally and aging reports.
Working Hours: Monday – Friday, 6 pm – 3 am.
Key Responsibilities- Billing Insurance Follow-Up
- Claims Submission
- Unpaid Claims Monitoring
- Collaboration with Ancillary Departments
- Proper Documentation Confirmation
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