Medical Billing Specialist - Annapolis, United States - Chesapeake Speech Language Associates, LLC

Description

• Proficiently and effectively uses the Practice Management and EHR Software to utilize the billing system database to update facility file, payer information and patient demographic information, to send, edit, receive, and resubmit claims within billing system and assure correct balance of charge and payment batches, and proper reconciliation.
• Submit claims to payers via SFTP and CMS1500 claim forms and follows up on any denials or rejections within timely filing.
• Initiate appeals, corrects claim submissions, and submit medical records in response to payer requests for information or claims denials within the payor's timely filing guidelines.
• Utilize Clearinghouse to ensure claims are being received by payers, resolve any rejected claims, and can interpret and upload ERAs received from payers.
• Processes and uploads payments received by ERAs/EOBs into Practice Perfect and ensures patient charges and claims accurately reflect their response.
• Performs independent research prior to seeking management assistance.
• Successfully navigate payer websites, phone systems, fax processes and conversations with call representatives to obtain accurate and detailed insurance information.
• Employ effective and efficient billing techniques, and selfdirected initiative, to resolve all types of billing edits.
• Keeps detailed records and documentation of any correspondence with payers, clients and any active claims and/or appeals being worked on.
• Review and analyze medical records to ensure accurate coding and billing.
• Communicate with providers, when necessary, to clarify documentation is accurate, up to date and compliable with payer billing requirements.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Comply and stay updated with all relative coding and ICD10 guidelines and regulations.
• Ensure all clients remain informed of any outstanding debts and provides solutions to any of the client's relative problems.
• Provide excellent and compassionate customer service to resolve issues within an appropriate time frame, showing persistence, and seeking alternatives when obstacles arise.

• Excellent verbal and written communication and interpersonal skills. Ability to develop and maintain effective relationships with office staff and clients to create confidence, respect, and dependability.
• Displays professionalism in the workplace maintaining a positive team attitude; demonstrates dependability in attendance and timeliness
• Ability to learn and familiarize themselves with EHR software and clearinghouse.
• Established knowledge of major payers to identify payer rejection issues and execute the payer procedures needed to reduce the occurrence of future rejections.
• Impressive attention to detail and accuracy within their scope of billing and with any relative/necessary documentation or medical records
• Excellent multitasking, prioritizing and organizational abilities.
• Familiarity with basic office equipment (ex: multiline phone system, fax machine, photocopier, PC, etc.)
• Can learn basic front desk roles to occasionally answer phone calls from clients, while communicating and following office policies

This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

• High School Diploma, GED or Equivalent (required)
• Bachelor's degree in related field (preferred)
• Minimum of three (3) years' experience of medical billing and working with an Electronic Health Record software (EHR)
• Minimum of one (1) year of customer service experience.

• Health insurance
• Paid time off
• Retirement plan

• Monday to Friday
• No weekends

• Hybrid work
• Office
• Private practice

• Annapolis, MD 21403: Relocate before starting work (required)