Medical Billing Specialist

Summary/Objective

The Medical Billing Specialist is responsible for timely and accurate billing of all medical claims for a vision care practice. This position requires working with insurance companies, creating and submitting insurance claims, processing insurance claims, and any necessary follow-up work for rejected claims. Additional responsibilities include A/R, collections, and the revision of claims in third-party databases as necessary to secure payment.

Primary Function

• Ensure timely and accurate submission of claims
• Ensure proper coding and filing of all Medical claims
• Review of Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines
• As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance
• Monitor, and follow-up on unpaid claims
• Monitoring and managing all denied and rejected Medical claims for proper corrections and refiling
• Ensure rejected bills are corrected and resubmitted
• Accurately prepare, maintain and monitor practice specific MIPs reporting

Minimum Qualifications/Requirements

• Minimum of three years of billing experience working with commercial insurance/Medicaid/Medicare required.
• CPT/ICD 10 coding experience required; certification preferred.
• Computer Skills: 3 years (Required)
• medical billing: 3 years (Required)
• CPT/ICD 10 Coding: 1 year (Preferred)

Other details

• Job Family Corporate Jobs
• Pay Type Hourly

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