Job Description

Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967.  

Job Summary - Medical Billing Specialist responsible for accurately billing medical procedures and services.

Job Duties

• Prepare and submit billing data and medical claims to insurance companies including any additional clinical information as necessary.
  
• Make changes to demographic or insurance information as needed to produce accurate claims.
  
• Bill claims both electronically and manually, as needed.
  
• Must have ability to analyze coding to ensure proper billing of claim.
  
• Request and attach required clinical documentation as needed for processing of the claim.
  
• Examine patient charges for accuracy and request any mission information.
  
• Compare EOBs to current fee schedule to ensure proper processing of claim.
  
• Review unpaid and/or denied claims. Correct and resubmit claims to payors; submit appeals.
  
• Follow up with insurance companies, addressing denials and rejections, etc.
  
• Report any unresolved disputed claims to management when necessary.
  
• Prepare bills and invoices and document amounts due.
  
• Record information about the financial status of patient accounts and status of collection efforts.
  
• Complete various job duties within the billing office as needed.
  
• Work collaboratively with other billing team members.

Qualifications

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• High School Diploma, 3+years of experience in a health care financial setting or medical office setting. Must have previous prior authorization experience.
  
• Excellent customer service skills, strong attention to details, multi-task as needed.
  
• Must be familiar with an EMR; Microsoft Office 365
  
• Must be able to take responsibility and work under pressure. Work efficiently in a busy medical office.
  
• Must be a positive team player.
  
• Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.
  
• Proficient in medical terminology, especially radiological terms and procedures.
  
• Days/Hours: M/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus)
  
• Starting pay $18.00 to $20.00 hourly (Based on experience)

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