Medical Billing Specialist

Position Overview:

Responsible for processing and submitting medical insurance claims, ensuring accurate coding of procedures, and resolving billing discrepancies to facilitate timely reimbursement for healthcare services. Position is onsite with potential for hybrid after 90 days of employment.

Supervisory Responsibilities: None

Essential Job Functions:

· Audits and submits clean claims to various insurance companies either electronically or by paper for Medical, Dental and Behavioral health services.

· Answers questions from patients, clerical staff, and insurance companies.

· Identifies and resolves patient billing complaints.

· Evaluates patient’s financial status and establishes budget payment plans.

· Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.

· Auto post and hand post payments from insurance companies.

· Identify, appeal, and resolve insurance denials and report denial trends to Billing Director.

· Verify eligibility, benefits and claim status on various insurance websites.

· Work and resolve AR claims.

· Maintain clearinghouse denials.

· Performs other related duties as assigned.

Required Skills/Abilities:

· Ability to maintain confidentiality

· Excellent verbal and written communication skills.

· Present a positive and professional attitude.

· Excellent organizational skills and strong attention to detail.

· Excellent time management skills with a proven ability to meet deadlines.

· Ability to identify problems and to propose feasible solutions.

· Ability to maintain accurate records.

· Ability to enter and maintain data in various company software programs

Education and Experience:

· High School Diploma or equivalent

· Minimum of 2 years experience medical billing (Preferred)

· Certified Biller (Required)

· Certified Coder (Preferred)

Physical Requirements:

· Sitting in a normal seated position for extended periods of time

· Reaching by extending hand(s) or arm(s) in any direction

· Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard

· Communication skills using the spoken word

· Ability to see within normal parameters

· Ability to hear within normal range

· Ability to move about

Benefits:

· PTO and Paid Holidays

· No nights or weekends!

· Optional Medical, dental and vision plans

· 401(k) retirement plan

· Company-paid life insurance with/AD&D benefit

· Company-paid long-term disability plan

· Optional life insurance and short-term disability plan

· Optional Critical Illness Plan

· Optional Accident Insurance Plan 

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.