Medical Billing Specialist - The Woodlands, United States - Renrmn Enterprises LLC

Renrmn Enterprises LLC

Verified Company

The Woodlands, United States

7 hours ago

Posted by:

Mark Lane

beBee recruiter

Responsibilities

Processing insurance claims through both private insurance and Medicare
Process insurance denials and appeals to ensure timely account resolution
Identify denial trends and determine process changes to prevent future denials
Work with Medical Coders to address editing coding and payment related issues
Enter all billing and payment information into the system properly and without errors
Responsible for lowering AR over 90 days to acceptable standards
Answer phones, assist clients with questions, take messages, and screen calls
Handle incoming calls from patients and insurance companies regarding claims and patient balances
Maintains the highest level of confidentiality.
Supports and adheres to all policies and procedures.
Review accounts that have partial or under payments
Work with supervisors to streamline billing procedures based on denial types
Post contractual adjustments and transfer deductibles to patient accounts based of correspondence from the insurance carriers
Daily follow up on all claim reports generated based on rejections, appeals and denials by the insurance carrier
Uphold confidentiality and security standards by adhering to professional guidelines, company policies, and federal, state, and local requirements

Qualifications

EClinical works experience a must
3 years' experience in healthcare collections setting
Indepth knowledge of CPT and ICD10 codes, Medicare and commercial billing rules, insurance reimbursement methods, claims

appeal process, managed care contracts, and payments

Ability to read explanation of benefits (EOBs) is critical for this position
Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making
Ability to work collaboratively with other team members to support data quality and integrity initiatives
Great organizational skills
Ability to work on multiple assignments concurrently within established timeframes
Ability to multitask, establish and meet deadlines
Ability to work in fastpaced environment and maintain accuracy
Strong verbal and written communication skills
Ability to troubleshoot and recommend root cause solutions to problems
Above average organizational and time management skills
Strong Microsoft Office experience with emphasis on Excel (intermediate to advanced)
Knowledge of Federal, state and HIPAA privacy regulations
High School graduate or equivalent

Benefits: