Medical Billing Specialist

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POST DATE 9/12/2016
END DATE 11/7/2016

Ajilon Professional Staffing Austin, TX

Company
Ajilon Professional Staffing
Job Classification
Full Time
Company Ref #
23115031.17231572
AJE Ref #
576147105
Location
Austin, TX
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
span B Medical Billing Specialist /B span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' needed in Austin, TX. We are hiring several temporary to hire positions. Positions are located in Austin and is easily accessible.  Please inquire as these are new positions for a new company in Austin.  As a candidate you will be responsible the accurate preparation and submission of electronic and paper claims to appropriate parties. You will be involved with the preparation and submission of insurance pre-certification documents. You will monitor, timely resolve, and resubmit any insurance claims that are returned unpaid. Apply payments to patient accounts. Compile documentation and submit to external coding and or billing vendors and monitor their activities as defined. Conduct appropriate research and timely respond to inquiries regarding patient account activity in accordance with written policy/procedures. Interview and counsel patients regarding financial matters related to their accounts. Monitors and reviews the aged receivable reports to maintain correct balances due from patients or third parties. br   br /span B Qualifications: /B span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' br Submits electronic insurance claims daily. br Prepares and submits paper claims as appropriate. br Prepares and submits insurance pre-certification documentation and monitors outstanding requests. br Post payments to patients’ accounts. br Reconcile patients’ accounts and recommend adjustments as appropriate. br Performs audit of claims in accordance with policy/procedure. br Monitors external coding and/or billing vendors to assure prompt preparation and submission of claims to payers and intermediaries. br Monitors status of un-billed and unpaid claims and reports to management. br Provides daily/weekly/monthly reports to management. br Conducts appropriate claims tracking and resolution. br Monitors reimbursement to ensure accurate claims payment; conducts analysis and research to appropriately appeal denied claims; ensures appeals are filled timely; assumes responsibility for conducting the appeals process when required br Provide weekly report to management of denied/rejected claims and reasons br Maintain payer communications file; responds to inquiries from payers and patients regarding insurance claims status; submits appropriate re-billing. br Updates patient demographic and insurance information as necessary. br Works in other areas assigned br Perform other duties as assigned br Required Skills: br Accurate data entry skills with knowledge of basic keyboarding. br 10-key calculator by touch. br Proficient in Microsoft Office Suite. br Excellent oral and written communication skills. br Clerical and analytical ability to be self-sufficient in performing duties and maintaining confidential records. br Knowledge of and experience with automated billing systems. br Appropriate people skills to interact with patients, dentists, physicians, third party payers and co-workers. br Knowledge of third party insurance requirements. br HCPCS billing codes br Knowledge of Federal, State and other billing regulations and guidelines. br   br /span B Required Experience: /B span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' br A minimum of 2 years of related experience in Medical and/or Hospital insurance or billing department or with a major carrier in the claims processing