Medical Billing Specialist – RKL – Lancaster, PA

This is a remote opportunity.

The Medical Billing Specialist is responsible for providing selective medical billing services to a variety of clients within the post-acute healthcare industry, including nursing, retirement communities, home health and hospice facilities. They handle third-party billing and any denials after the claim is submitted while providing excellent client service.

Responsibilities

  • Train with Medical Billing Senior Specialist and Manager to learn billing procedures and claim follow-up on the numerous systems clients utilize
  • Establish collaborative working relationship with Medical Billing Senior Specialist and Manager to assist with any client needs that arise
  • Learn and understand Medicare, Managed Care, and Medicaid regulatory billing practices
  • Review claims against medical documentation provided by clients to ensure clean claims are submitted to the appropriate third party payer
  • Communicate with Medical Billing Senior Specialist and Manager when claims require additional information prior to submission
  • Complete coinsurance billing to appropriate secondary or tertiary insurances
  • Stay abreast of current medical coding and billing issues, trends and changes in the laws and regulations in order to make recommendations for changes in policies and procedures
  • Investigate, manage and resolve medical claims in accordance with established requirements and procedures
  • Consistently follow up on unpaid claims using monthly aging reports
  • Analyze accounts and investigate claims that have been returned, denied or have balance inaccuracies
  • Communicate with Medical Billing Senior Specialist and Manager on troublesome accounts receivable balances
  • Provide timely and high quality service to meet and exceed client expectations and perform research on projects as needed
  • Take initiative to understand and apply available resources and appropriate guidance and policies
  • Organize facts, analyze and interpret information according to client circumstances
  • Other duties as assigned

Education, Experience and Certifications

  • High school diploma or equivalent (GED); Associate’s degree and medical billing certification a plus
  • 1+ year experience in an administrative function, preferably within the health care field
  • Strong knowledge of Microsoft Office suite products and technology-savvy individual
  • Excellent attention to detail with the ability to manage multiple projects
  • Ability to research and analyze data and resolve issues; read and interpret medical terminology

Job Type: Full-time

Pay: $1.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
  • Work from home

Schedule:

Education:

  • High school or equivalent (Preferred)

Experience:

  • Medical billing: 1 year (Preferred)
  • ICD coding: 1 year (Preferred)

Work Location: One location

Source: Indeed.com
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