Medical Billing Specialist Job Opening

Medical Billing Specialist

Alteon Health

Carson City, Nevada
Category: Billing Specialist

The primary responsibilities for this position include but are not limited to:

  • Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission
  • Works directly with payers, internal and external customers, toward effective and efficient claims resolution
  • Responds to Customer Service inquires
  • Maintains a thorough knowledge of billing
  • Submits replacement, cancel, and appeal, claims to payers
  • Utilizes all resources available, including electronic inquiries to verify eligibility, and claim status
  • Prints medical records
  • Prints HCFA’s and attaches and required documentation such as medical records, or explanation of benefits (eobs).
  • Exercises good judgement towards account resolution and documents all activity on account in clear, accurate, and consistent manner
  • Contacts patient for additional information to have claims processed and paid in a timely manner
  • Perform due diligence to contact patient by phone and/or sending a letter
  • Advises manager/coordinator of any billing errors, payer trends, denials, or payment fluctuation, to ensure proper handling and escalation when necessary
  • Meets departmental productivity and quality assurance standards in accordance with departmental policies
  • Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards
  • Actively participates in creating and implementing improvements
  • Performs other responsibilities as needed/assigned
  • Able to demonstrate the ability co complete thorough follow up
  • Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission
  • Performs charge corrections per departmental requests
  • Works directly with payers, internal and external customers, toward effective and efficient claims resolution
  • Responds to Customer Service inquires
  • Maintains a thorough knowledge of billing and collection requirements for payers assigned
  • Submits replacement, cancel, and appeal, claims to payers
  • Utilizes all resources available, including electronic inquiries to verify eligibility, and claim status
  • Can work independently as well as in a team setting

Job Type: Full-time

Experience:

  • Medical Billing: 1 year (Required)

Location:

  • Carson City, NV (Required)

Work authorization:

  • United States (Required)