Medical Billing Specialist

  • location: Raleigh, NC
  • type: Contract
  • salary: $14 - $15.50 per hour
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job description

Medical Billing Specialist

job summary:
Client in Raleigh has several needs for a Medical Billing Specialist on a temp to perm basis.

Responsibilities

  • Ensures that claims are processed accurately through review and audit functions to ensure timely payment. Responds to inquiries regarding claims with under payment or non-payment. Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner. Interfaces with external and internal customers to ensure optimal efficiency of service.
  • Monitors aging of claims to ensure timely follow-up and payment.
  • Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims. Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
  • Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment. Analyzes common errors to support quality assurance efforts. Ensures corrected claims are sent out and monitored for payment.
  • Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections through participation in professional development activities.
  • Prepares routine management reports, quality reports, and special reports as directed by supervisor. Communicates collection problems to supervisor and makes recommendations for changes.
 
location: Raleigh, North Carolina
job type: Contract
salary: $14.00 - 15.50 per hour
work hours: 8 to 5
education: Associate's degree
experience: 2 Years
 
responsibilities:
Responsibilities

  • Ensures that claims are processed accurately through review and audit functions to ensure timely payment. Responds to inquiries regarding claims with under payment or non-payment. Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner. Interfaces with external and internal customers to ensure optimal efficiency of service.
  • Monitors aging of claims to ensure timely follow-up and payment.
  • Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims. Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
  • Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment. Analyzes common errors to support quality assurance efforts. Ensures corrected claims are sent out and monitored for payment.
  • Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections through participation in professional development activities.
  • Prepares routine management reports, quality reports, and special reports as directed by supervisor. Communicates collection problems to supervisor and makes recommendations for changes
 
qualifications:
Please apply directly to the posting or email thompson.litchfield@randstadusa.com.

 
skills: Billing
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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