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