Medical Billing and Payment Specialist
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Job Description
Medical billing specialist posting insurance payments, denials, and adjustments for MedCentris’ healthcare practice. Reconciling payment batches, resolving payer issues, and maintaining accurate patient accounts.
Responsibilities:
- Accurately and timely post insurance payments, contractual adjustments, and denials through electronic remit stations and manual methods
- Post miscellaneous payments to patient accounts through EFT, ERA, and other payment methods
- Export 835 electronic payment files and resolve edits or report payer-file issues
- Post non-EDI payments, contractual allowances, rejection codes, deductibles, and copayments
- Obtain missing ERA/835/EOB documents from payers via portals or telephone
- Research unidentified payments and recoupments for proper resolution and posting
- Post payments to the practice management system within specified timelines
- Record batch totals and balance batches using transaction reports
- Verify EFT deposits and scanned checks are posted by month end
- Identify and correct credit balances and posting errors
- Maintain or exceed productivity goals and quality standards
- Accept payments and process current patient billing statements when needed
- Update spreadsheets and run daily posting reports for balancing
- Perform other assigned duties
Requirements:
- High School Diploma preferred
- Two years of Medical Billing and Collection experience
- Working knowledge of EOBs, EFTs, and ERAs
- Knowledge of managed care contracts, Medicare, Medicaid, workers’ compensation, and private insurance carriers
- Excellent attention to detail
- Proficient use of Microsoft Office applications, including Word, Excel, and Outlook
- Outstanding interpersonal skills and ability to work as a team player
- Ability to work independently with a high degree of self-initiative
- Excellent problem-solving abilities
- Ability to work well under pressure and adapt to changing project priorities
- Demonstrated understanding of medical terminology required
- Knowledge of patient confidentiality and HIPAA regulations
- Knowledge of CPT, HCPCS, and ICD-10 coding required
- Knowledge of medical billing and collection practices
- Knowledge of electronic health records (EHR/EMR) or healthcare-related computer systems
- Ability to prioritize workload and use efficient work methods
- Ability to sit, talk, and hear frequently
- Ability to occasionally walk, handle or operate objects, tools, or controls, reach with hands and arms, and lift or move objects up to 25 pounds
- Close vision and ability to adjust and focus
- Ability to make decisions and concentrate continuously
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