Medical Billing Specialist reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follows up, and makes necessary revisions. Being a Medical Billing Specialist processes changes in information system to support accurate and efficient billing process and financial close. Follows proper medical and insurance claim processes. Additionally, Medical Billing Specialist typically requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Medical Billing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Billing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
REMOTE HOSPITAL BILLER
Holy Cross Hospital, a Critical Access Hospital in beautiful Taos New Mexico is seeking applicants living in New Mexico for a remote medical billing specialist in its Patient Accounting Office. The position works closely with management and the Revenue Cycle team to ensure timely and accurate submission of insurance claims as well as to facilitate effective follow-up and billing of insurance claims. Candidates must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills.
Job Description
Daily billing of insurance claims, follow up on unpaid claims, denial management and filing appeals when appropriate to obtain maximum reimbursement.
Required Skills
5 years of prior medical (hospital) billing
Computer skills
Experience with MS Word and Excel
Familiar with CPT and ICD-10 coding
Familiarity with medical terminology
Ability to communicate with various insurance payers
Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
Responsible use of confidential information
Strong written and verbal skills
Ability to multi-task
Technical Specifications: Base download/upload internet speed of at least 5Mbps -- SATELLITE/HOT SPOT INTERNET IS NOT ACCEPTABLE
Must have a quiet, dedicated space to work
All equipment will be provided by Holy Cross Hospital
Job Duties
Ensure all claims are submitted daily with a goal of zero errors
Timely follow up on insurance claim status
Reading and interpreting an EOB (Explanation of Benefits)
Respond to inquiries by insurance companies
Denial Management
Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles
Any additional duties as requested by management
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