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)
NATURE OF WORK: Responsible for preparing, submitting clean medical claims to commercial insurance, government funded plans, grants or other types of payer. Responsible for monitoring, auditing, and reporting on medical claim status and collection from those payers. Proficient in identifying, resolving all types of service and claim issues. Keep current on all regulation and best billing practices. Inform Manager of Billing of any change in regulation or claim submission that requires the Practice Management software to be updated. Possesses the interpersonal skills necessary to interact with clients, Valley employees, management, and insurance representatives, to resolve any medical billing question or issue with client account. Presents and projects a respectful professional business-like image to clients, the community and fellow employees.
MINIMUM QUALIFICATIONS: ______________________________________________________________________________