Medical Billing Specialist Job Opening

Medical Billing Specialist

Impact Consulting Solutions, Inc.

Carnegie, Pennsylvania
Category: Billing Specialist

Impact Consulting Solutions is a consulting and full time placement company. Our clients range from small local businesses to Fortune 500 Corporations. Exciting opportunities currently exist for professionals. If you are looking for career advancement and the money you deserve, we are the firm for you. We take pride in our ability to match the individual with the right job. Our promise is to provide you with the best financial and career opportunities available.

Our client located in the Carnegie, PA area is looking to hire a Medical Billing Specialist with the following skills:

Job description
The Medical Billing Specialist is responsible for performing functions necessary for accurate and efficient manual and electronic claims processing for all patients account bills.

Essential functions of job:

  • Completes electronic and manual billing for all patient accounts in a timely manner
  • Performs electronic billing via electronic health record and clearinghouses
  • Performs and regularly updates insurance and physician credentialing to ensure timely processing and payment of claims
  • Demonstrates knowledge of HCFA 1500 billing criteria
  • Demonstrates comprehensive ability and knowledge of electronic claims processing, electronic remittance advice, electronic payment posting, and clearinghouse functions
  • Demonstrates knowledge of CPT-4, ICD-10, usage of modifiers, and HCPCs coding according to all federal and state regulatory guidelines
  • Demonstrates a thorough knowledge and understanding of benefits and/or coverage as indicated by third party payer requirements
  • Demonstrates in depth knowledge of insurance authorizations with relation to medical billing
  • Promptly corrects and processes rejected claims
  • Effectively manages accounts receivable and collections

Additional responsibilities:

  • Supplies statistical information to the Practice Manager as directed
  • Keeps current on all federal, state, and payer specific billing and compliance guidelines
  • Informs the Practice Manager of issues that may relate to the timely processing of the entire patient claims operations
  • Completes the necessary processes for variance reports relating to un-billed claims, to maintain billing operations in a timely manner. Typically, a timely manner would be 24 hours
  • Documents all information and conversation into the electronic billing record regarding patient account activity
  • Consistently utilizes available work time to complete all required tasks within established time frames and schedules
  • Conducts professional interaction with other departments and outside agencies
  • Performs other duties as assigned

Experience/Education:

  • High school diploma or equivalent required
  • Associate degree in healthcare related field or medical office training preferred
  • Two years claim processing in a Hospital or physician setting required
  • Knowledge of the EPIC, APRIMA or MEDENT systems a plus

Required experience:

  • Medical Billing: 1 year

Job Type: Full-time

Experience:

  • Medical Billing: 1 year (Preferred)