Medical Billing Specialist
ABACUS DERMATOLOGY MANAGE
Montclair, NJ
Job Type: Full-Time
Pay: $19 - $20 an hour
Job Description
The Billing Specialist is responsible for ensuring accurate, timely filing of medical claims and bills to various payers and patients. This process includes review of medical encounter notes, application of appropriate procedure codes, diagnoses, and modifiers. The candidate will be responsible for the full revenue cycle including billing, payment posting, follow up and financial reconciliation. Candidate will work to achieve Revenue cycle timelines and goals. Candidate is able to communicate effectively to providers and clinical staff on medical documentation guidelines. There may be other job duties as assigned.
REQUIRED KNOWLEDGE & SKILLS
Understanding and proficient use of medical billing guidelines and regulations.
Knowledge of CPT, ICD-10, and HCPCS codes, as well as appropriate modifier usage for billing and following up on open AR claims.
Familiar with billing all major medical insurances, including Medicare, Tricare, and commercial payers.
Ability to communicate effectively and congenially with patients and staff members in person and over the phone.
Ability to exercise tact, initiative, and good judgement when interacting with patients and staff members.
Working experience in Office 365 business tools such as Outlook, Excel, Word etc.
Ability to navigate and accurately input within the Practice Management system, EMR and other source systems.
Ability to look for patterns of events, provides feedback and solutions.
Critical thinking and analytical skills to review accounts and medical documentation.
DUTIES AND RESPONSIBILITIES
Reviewing medical documentation and billing for errors, to ensure a clean claim is submitted the first time.
Fielding patient and staff billing questions.
Follow up on unpaid and denied claims.
Insurance and patient payment posting and reconciliation.
Work cooperatively with others, including appropriate communication with patients, providers, support staff and administration.
Understanding of industry-specific policies, such as HIPAA regulations for health care
EDUCATION AND EXPERIENCE
High school graduate or higher
Medical billing or coding certification preferred
Knowledge of dermatology coding and billing preferred
PHYSICAL REQUIREMENTS
Must have the physical ability execute the full performance of the duties of the position.
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift 25 pounds at times.
DESIRED TRAITS
Dependable, reliable and self-starter
Detailed and critical thinking/analytical skills
Capacity to prioritize tasks and work independently
Strives for excellence
Address
ABACUS DERMATOLOGY MANAGE
Montclair, NJ
07042 USA
Industry
Healthcare
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