Medical Billing Specialist jobs in Idaho
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)
Recently Added Medical Billing Specialist jobs
- Idaho Physical Medicine & Rehabilitation
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Meridian, ID
FULL_TIME
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SUMMARY OF DUTIES: Responsible for follow up on denials, tracking reimbursement levels, and working aging reports. Billing Specialist also provides phone coverage through billing call center, answering billing questions by phone, assisting patients in making payment arrangements and problem solving.
SUPERVISION RECEIVED: Reports to the Billing Manager; may receive direction from Administrator and/or Physicians.
ESSENTIAL FUNCTIONS:
- Follow-up on all outstanding insurance claims at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Assists with processing HCFA 1500 forms and send to insurance companies.
- Communicates with patients, insurance companies, attorneys, etc. regarding patients’ accounts.
- Monitors and works unapplied credits, preparing paperwork for refunds for insurance overpayments.
- Monitors reimbursement of procedures on a continuous basis and identifies changes in reimbursement patterns as assigned. Reports to Billing Manager any changes in reimbursement trends.
- Performs coding and error resolution requiring independent judgment and knowledge of ICD-10 and CPT coding
- Understanding of payer rules and medical policies of payers.
- Anticipate and solve problems from all above areas of responsibility, with the primary consideration being the efficiency of the physicians and the office as a whole.
- Provides coverage for billing department call center assisting patients with questions regarding their insurance, statements, setting up payment arrangements and problem solving.
- Maintains confidentiality regarding patient accounts status.
- Covers for co-workers when necessary.
- Other duties as assigned.
- Comply with HIPAA Policies and Procedures and adheres to Clinic Confidentiality Policy and all company policies and procedures.
EDUCATION: High school graduate. Additional education through workshops and seminars in CPT /ICD-10 coding, billing procedures and collections.
EXPERIENCE: At least two years healthcare experience in billing and processing of insurance claims and claims resolution.
KNOWLEDGE:
- Medical terminology, ICD-10 and CPT coding, and office procedures.
- Knowledge of third-party and insurance procedures, regulations and billing requirements, and government reimbursement programs.
SKILLS:
- Skill in establishing and maintaining effective working relationships with other employees, patients and their families, organizations and the general public.
- Basic computer skills and knowledge of practice management software.
ABILITIES:
- Ability to read, understand and follow oral and written instruction.
2 Ability to sort and file materials correctly by alphabetic or numeric systems.
- Ability to communicate clearly.
- Ability to prioritize and handle many tasks/projects simultaneously
- - anticipate problems before they occur.
ENVIRONMENTAL/WORKING CONDITIONS: Work is performed in a busy office environment and requires desk work. Frequent contact with employees, patients and outside agencies. Public contact may involve dealing with angry or upset people.
PHYSICAL DEMANDS: Sitting required for extended periods of time. Manual dexterity for using a calculator and computer keyboard. Some bending and stooping required.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
- 1 Month Ago
- Heritage Health - Idaho
-
Coeur d'Alene, ID
FULL_TIME
- DescriptionResponsible for the timely completion of all billing functions including maintaining accurate record of all patient accounts, recording charges, payments, submitting reimbursement requests ...
- 29 Days Ago
- Primary Health Medical Group
-
Boise, ID
FULL_TIME
- You. You bring sound judgment, an analytical mind, and evaluation skills to your work as a Medical Insurance Billing Specialist II. You know how to work quickly. You know how to stay on task. You know...
- 1 Month Ago
- SCA Health
-
Boise, ID
FULL_TIME
- Overview:Treasure Valley Hospital is a state-of-the surgical hospital physician owned and managed by SCA Health. We have 16 operating rooms and provide surgical care to patients with Anesthesiology, E...
- 1 Month Ago
- Heritage Health - Idaho
-
Coeur d'Alene, ID
FULL_TIME
- DescriptionResponsible for the timely completion of all billing functions including maintaining accurate record of all patient accounts, recording charges, payments, submitting reimbursement requests ...
- 1 Day Ago
- Valor Health
-
Emmett, ID
FULL_TIME
- DescriptionPosition Title: Billing SpecialistDepartment: Business OfficeSupervisor’s Title: Revenue Cycle ManagerPosition Summary: Process primary and secondary claims electronically or paper format w...
- 7 Days Ago
Medical Billing Specialist jobs at Popular Companies
- Delphina Solutions
-
Veneta, OR
- We are seeking a skilled and detail-oriented Medical Billing Specialist to join our team. As a Medical Billing Specialis...
- 4/24/2024 12:00:00 AM
- TalentBurst, an Inc 5000 company
-
Boston, MA
- Job - Medical Billing Specialist (Dental) Location – Boston, MA Work Schedule: 40 hours/week Duration – 3+ Months with p...
- 4/23/2024 12:00:00 AM
- Key Staffing Inc
-
Bakersfield, CA
- Job Description Job Description Growing Urgent Care has an immediate opening in Bakersfield for a Full-Time Medical Bill...
- 4/23/2024 12:00:00 AM
- The Lasalle Network
-
Chicago, IL
- Are you excited by the buzz of a fast-paced environment? Are you searching for a chance to develop your understanding of...
- 4/23/2024 12:00:00 AM
- HCA
-
Las Vegas, NV
- Hourly Wage Estimate: $15.86 - $22.21 / hour Learn more about the benefits offered for this job. The estimate displayed ...
- 4/22/2024 12:00:00 AM
- Pacific Medical, Inc.
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Tracy, CA
- Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic reh...
- 4/22/2024 12:00:00 AM
- Lhh Recruitment Solutions
-
Phoenix, AZ
- Medical Billing Specialist - Follow up & Collections LHH Recruitment Solutions is searching for a full-time Medical Bill...
- 4/22/2024 12:00:00 AM
- Regional Business Office
-
Norfolk, VA
- Overview: Employment Type: Full Time In-Office Position Benefits: M/D/V, Life Ins., 401(k) Norfolk, Virginia Pay Range: ...
- 4/21/2024 12:00:00 AM