MEDICAL BILLING SPECIALIST - REVENUE CYCLE OPERATIONS
Salary undisclosed
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Salary Range: $21.8400 - $33.5900 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.
The Medical Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. Ensures accuracy, reports issues and works to resolve. Ensures compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Performs other duties as assigned. May also maintains databases, audit information and works with patients to process patient payment. May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients.
Required
Education and Experience
The Medical Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. Ensures accuracy, reports issues and works to resolve. Ensures compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Performs other duties as assigned. May also maintains databases, audit information and works with patients to process patient payment. May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients.
Required
Education and Experience
- High School Diploma or equivalent
- 1+ years of experience in medical claims/billing
- Proficient in Microsoft Word, Excel, Typing/Data Entry
- Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience