PFS Medical Billing Specialist I
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Job Description
Medical billing specialist submitting compliant insurance claims for Mosaic Life Care, a Missouri healthcare system. Resolving billing errors and supporting revenue-cycle operations remotely.
Responsibilities:
- Work the daily electronic billing file and submit insurance claims timely according to payer guidelines
- Collaborate within the team and with external departments to resolve claim errors
- Acquire and maintain a general understanding of regulations affecting billing practices
- Report suspected compliance issues
- Conduct duties in a professional and timely manner
- Perform all other duties assigned by departmental leaders
- Accurately bill claims
- Meet timely filing deadlines for various payers
- Bill claims according to compliance and payer guidelines
- Collaborate with revenue cycle areas and the organization to ensure accurate and timely billing
- Stay current on compliance and payer policies and share information with other caregivers
Requirements:
- H.S. Diploma - Required
- Basic Microsoft application skills required
- Excellent oral and written communication skills
- Excellent organization and time management skills, with ability to establish priorities effectively
- Dependable in both production and attendance
- Professional use of electronic fax, computer, email, Zoom, and telephone
- Ability to research and review payer policies, guidelines, and compliance guidelines
- Creative problem-solving skills
- Medical Terminology knowledge
- Ability to escalate issues appropriately to leadership
- Ability to work independently and multi-task as needed
- Ability to analyze and interpret data and explain issues thoroughly
- Ability to comprehend and retain written and spoken instructions
- Ability to organize data and manage time
- Ability to collaborate to resolve billing issues
- Ability to operate computer, telephone, and fax equipment continuously/repetitively
- Ability to sit mostly, with occasional walking and standing
- Hearing, speaking, and visual skills
- Limited exposure to hazards
- Ability to work remotely from one of the approved states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, or Virginia
- Associate's Degree - Preferred
- 1 year of non-clinical healthcare experience, preferably in revenue cycle - Preferred
Benefits:
- Concierge services
- Employee lounge
- Wellness programs
- Free covered parking
- Free on-site and virtual health clinics
- Compensation and recognition
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