Medical Billing Specialist
Randstad is looking for Billing Specialist that will be responsible for providing high-quality billing services to one or more Billing Services member clinics, potentially in different geographical areas. Responsible for all phases of billing/account follow-up using accepted billing practices to ensure thorough and consistent account resolution to promote financial health. This position ensures acceptable reimbursement and appropriate days in Accounts Receivables with timely account follow-up and resolution of outstanding charges owed by third-party payors. Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, payment posting, and resolution of reimbursement issues for multi-facility, multi-specialty organization. This position will enhance the billing department's reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.
Providing efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement.
Resolve insurance claim rejections/denials, and non-payment of claims by payors.
Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines in order to identify ways in which we can expedite resolution of insurance accounts and identify delays in processing.
Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
Responsible for maintaining a daily account, follow-up work lists within the department while maintaining organization???s productivity standards.
Ensure compliance requirements are met and process claims in accordance with contracts and policies.
Responsible for identifying, researching, and resolving: credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
Responsible for identifying, researching, and working with other teams members to resolve system issues.
Responsible for patient and electronic and paper insurance remits.
Process, and maintain, within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
Responsible for helping resolve patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
Communicate appropriately with clients, insurance companies, patients, co-workers, and supervisors.
Responsible for updating and verifying information in the practice management system.
Establishing and maintaining positive working relationships with patients, payers, team members, clients and other stakeholders.
Perform other duties as assigned.
Working hours: 8:00 AM - 6:00 PM
Proficient use of computers including Microsoft Office 2010 applications
Skilled in 10-key by touch and keyboarding
Ability to operate general office equipment
Exceptional verbal and written communication skills
Excellent attention to detail and ability to multi-task
Ability to work with minimal supervision, independently, as well as in a collaborative team setting
Strong organizational skills with the ability to prioritize and meet deadlines
Knowledge of Commercial and/or Government Payors
Ability to identify, research, and resolve credit balances, missing payments, and unposted cash as it pertains to billing account follow-up
1 year of progressive experience in similar or relevant role preferred. 2 years of applicable experience desired.
Minimum of a high school diploma or GED is required. Some higher education is preferred.
Knowledge of Epic and/or NextGen practice management system preferred.
Previous FQHC/RHC experience preferred.
Knowledge of Medical Terminology is preferred in this role.
Dual language skills, specifically in Spanish is a plus.
Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, and legal requirements.
Desired Certifications include:
Medical coding from AAPC (CPC Certificate) or
AHIMA (CCS Certificate, and
Current certification from ADCA (CDC certificate).
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.