Medical Billing Specialist 8/17/2016

SHHC Maplewood, NJ

Company
SHHC
Job Classification
Full Time
Company Ref #
28843356
AJE Ref #
575912122
Location
Maplewood, NJ
Job Type
Regular

JOB DESCRIPTION

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Growing Medical Practice (Audiology) seeking an experienced Medical Billing Specialist for an immediate position.

The qualified candidate will have at least 4 years of strong billing experience in all areas of Medical Billing and specific experience with Medicaid & Medicare. Must have high communication skills both written and verbal as well as strong excel and database / spreadsheet skills.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Prepare and submits clean claims to Medicare, Medicaid and other insurance companies.
Prepare, reviews and sends patient statements.
Process payments from insurance companies, agencies and private pay.
Process EOB / EOP.
Follow up on medical claim denial resolution.
Assist with patient demographics/insurance verification.
Maintain office DTR.
Obtain authorization from HMO carriers for provider visits.

OTHER COMPETENCIES:
Insurance (specifically pertaining to verification of benefits, authorization, and claim submission).
Medical Terminology (specific to Audiological services) as well as proper DME coding.
Claim Resolution (posting payments, denials, and appeals electronically & manually).

QUALIFICATIONS:
Bachelor degree preferred but strong billing background and certification may substitute.
Acute attention to detail.
Ability to multitask and time manage.
Ability to work effectively and autonomously.