What are the responsibilities and job description for the Medical Billing Specialist position at Manhattan Vision Associates?
JOB SUMMARY
Manhattan Vision Associates is seeking an experienced Medical Biller to work in our midtown office. The ideal candidate must have a strong background in medical billing. The successful applicant will work on several tasks requiring knowledge of CPT, ICD-10, HCFA, medical claims and appeals, payment posting, and aging reports. The candidate must know how to read EOBs and explain remittance issues to patients, if necessary.
RESPONSIBILITIES AND DUTIES
- Knowledge of insurance guidelines including HMO/PPO, Medicare, and other payer requirements and systems
- Competent use of computer systems, software, and MSO
- Effective communication abilities for phone contacts with insurance payers to resolve issues
- Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
- Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process
- Knowledge of accounting and bookkeeping procedures a PLUS
- Knowledge of medical terminology likely to be encountered in medical claims
- Ability to multitask
- Eyefinity PM & EHR experience a PLUS
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information
- Preparing, reviewing, and transmitting claims using Eyefinity, including electronic and paper claim processing
- Following up on unpaid claims within standard billing cycle timeframe
- Checking each insurance payment for accuracy and compliance with contract discount
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances
- Reviewing accounts for insurance of patient follow-up
- Researching and appealing denied claims
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts
QUALIFICATIONS AND SKILLS
- Degree in Medical Billing, Accounting, or Health Care Administration preferred
- Minimum of one year of insurance billing experience in a medical office setting
Salary : $20 - $25