Experienced Medical Billing Specialist
Company: Quest National Services
Posted on: February 16, 2020
A well established Medical Billing & Coding company based in
Orlando, Florida is seeking an experienced Medical Billing
Specialist to join their billing team.
Seeking an individual with medical billing and EMR billing software
EXPERIENCE who strives to deliver the highest of customer service
standards. This position is responsible for supporting the Account
Management team by posting insurance payments and completing daily
Explanation of Benefits (EOB) batches in accordance with
established billing and collections policies and procedures, filing
all primary and secondary claims by electronic and paper methods,
running all standard monthly reports, and performing follow-up with
insurance tracking report as directed.
--- Preferred 4 years' experience in a medical office reimbursement
--- Experience with EMR Management software
--- Strong background in Accounts Receivable
--- Strong communication skills as you will be speaking with
physician's, patients, insurance representatives, and/or medical
billing staff on a weekly basis
--- Must maintain HIPAA standards
--- Ability to work in a fast-paced environment while remaining
calm and professional
--- Strong customer service orientation
--- Excellent organizational skills and must be detailed
--- Strong computer and typing skills
--- Outstanding listening skills
--- Positive, friendly, approachable disposition
--- Ability to work with multiple priorities
--- Post all insurance payments, contractual and non-contractual
adjustments for assigned carriers by CPT code and transfer
outstanding balance to secondary insurance or patient
responsibility per EOB protocol
--- Close payment batches daily, reconciling individual carrier
payments and EOB statements
--- Initiate processes to follow up on rejected claims as evidenced
by EOBs, per EOB protocol
--- Transmit all appropriate electronic and paper claims, correct
any errors on claims and re-transmit; file secondary claims as
--- Discuss outstanding payment amounts with patients regarding
balance owed by the insurance company and the patient
--- Post all payments, by line-item, received for physician's
professional services into EMR software system including
co-payments, insurance payments, and patient payments in accordance
with practice protocol with an emphasis on accuracy to ensure
maximum patient satisfaction and profitability. All payment batches
must be balanced in both their dollar value of payments and
adjustments prior to posting.
--- Review the physician's coding at charge entry to ensure
compliance with Medicare guidelines and to ensure accurate and
--- Provide customer service on the telephone and in the office for
all clients and authorized representatives regarding patient
accounts in accordance with practice protocol. Patient calls
regarding accounts receivable should be returned within 1 business
days to ensure maximum patient satisfaction.
--- Verify all demographic and insurance information in patient
registration of the EMR software system at the time of charge entry
to ensure accuracy, provide feedback to clients and supervisor to
ensure timely reimbursement.
--- Provide information pertaining to billing, coding, managed care
networks, insurance carriers and reimbursement to physicians,
managers and subordinates.
--- Follow-up on all returned claims, correspondence, denials,
account reconciliations and rebills within five working days of
receipt to achieve maximum reimbursement in a timely manner with an
emphasis on patient satisfaction.
--- Submit primary and secondary insurance claims electronically
each day and on HCFA to ensure timely reimbursement.
--- Process refunds to insurance companies and patients in
accordance with client protocol.
--- Monitor reimbursement from managed care networks and insurance
carriers to ensure reimbursement consistent with contract
--- Proficiency with all facets of the EMR software system
including patient registration, charge entry, insurance processing,
advanced collections, reports and ledger inquiry.
--- Provide cross coverage for Account Managers in their absence as
required to ensure efficient and professional practice
--- Maintain information regarding coding, insurance carriers,
managed care networks and credentialing in an organized easy to
--- Maintain an organized, efficient and professional work
--- Adhere to all practice policies related to HIPAA and Medicare
--- Continuous sitting throughout the work shift
--- Frequent bends, kneels and crouches
--- Must be able to read small print
--- Stooping and bending to files, supplies, mobility to complete
--- Repetitive movements of hands, fingers and arms for typing
and/or writing during work shift
--- Frequently lifts, carries or otherwise moves and positions
objects weighing 10-20lbs
--- Continuous use of the telephone to verbally speak to insurance
companies and/or assigned by senior management
--- Ability to reach with hands and arms
--- Must be able to handle stress
--- Will view computer screens for long periods of time.
Keywords: Quest National Services, Orlando , Experienced Medical Billing Specialist, Healthcare , Orlando, Florida
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