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Are you an experienced Medical Billing Specialist looking to get to work quickly? If so, we have a contract to possible hire opportunity with a growing company in Midlothian, TX.
Company Profile:
One of the largest medical practices in North Texas
Four locations
Medical Billing Specialist Role:
The Medical Billing Specialist will work in a project oriented environment and will be responsible for the ICD-10 and CPT coding of procedures, hospital charges, MRI’ s and additional services performed by the physician group.
Works with the A/R claims specialists to research and resolve reimbursement issues
Ensures all paper-electronic claims are submitted with 0% error-verifies completeness of paper-electronic insurance claim information before mailing.
Transmits all appropriate electronic claims
Corrects claims that hit the “ front end edit,” then retransmits
Ensures accurate coding of services
Assigns the correct ICD-9 and CPT codes, modifier usage, and knowledge of CCI edits
In an effort to maintain high quality standard, the Medical Billing Specialist will research difficult coding questions
Provides support to management, staff, and physicians in determining accurate coding and billing practices
Participates in coding audits and educational endeavors
Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes
Transmits collection letters to outside processing
Prints and mails itemized statements to patients who request them, or transmits claims to outside mailing house for processing
Notifies Billing Lead/Accounts Receivable Lead immediately when insurance payments do not match contractual agreement
Processes requests for refunds
Watches for rejection patterns by payer and procedure, and develops a plan as to how they can be remedied
Works closely with the Billing Lead/Accounts Receivable Lead to solve receivable problems that begin in the clinic
Verifies and inputs surgical coding from physicians following CPT-4 & CPT-10 guidelines
Notifies physicians of any surgical codes not received in a timely fashion
Processes denials and all insurance correspondence to ensure that claims are paid
Follows up with insurance companies to ensure that claims are paid
Conducts detailed review of EOB forms from commercial and managed care payers
Follows collection protocol utilizing collection module in computer on delinquent accounts report, beginning at 45 days, to contact payers regarding unpaid insurance claims
Responds to written and telephone inquiries from insurance companies
Manages relationships with personnel from assigned carrier
Works with patients to questions about insurance-related reimbursement
Inputs data into scanning system weekly
Meets with Billing Lead/Accounts Receivable Lead regularly to discuss and solve reimbursement and insurance follow up problems
Medical Billing Specialist Background Profile:
High School diploma or equivalent
Bachelor’ s degree or associates degree preferred
2+ years’ experience working in a physician group in the billing department
Proficient with computer systems
Working knowledge of practice management software
CPT and ICD-10 coding experience Required
Experience working with insurance companies and establishing relationships with insurance companies
Excellent phone voice and communication skills
Professional and polished demeanor and appearance
Features and Benefits while On Contract:
We go beyond the basic staffing agency offerings! You can see the extensive list of benefits on our website under the Candidate “ Benefits” tab.
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