Medical Billing Specialist Level 2 Regenesis Biomedical
THIS JOB HAS EXPIRED The Medical Billing Specialist ensures that all appropriate insurance referrals, authorizations and claims are processed within established timeframes and that all insurance data is correctly entered into the ERP system. The position requires collection and interpretation of necessary medical records, interaction with physician?s offices, insurance companies and sales managers, verbally and in writing. Must be articulate with the ability to be proactive when communicating with insurance companies and case managers. The Medical Billing Specialist must have experience in processing all phases of insurance claims. The position requires knowledge of Workers Compensation policies and the ability to compare and contrast different types of health insurance.
ESSENTIAL DUTIES & RESPONSIBILITIES
Process all referrals, authorizations and claims, and maintain ongoing tracking and appropriate documentation to ensure maximum approval and collection rates.
Prepares and submits clean claims to various insurance companies either electronically or by paper.
Reviews accounts for possible assignment and makes recommendations to the Claims and Patient Care Manager
Ensure files, communication and documents are complete with accurate patient / payer data, including patient demographic and current insurance information, necessary medical history, diagnosis, prognosis, etc.
Contact case managers and insurance companies, providing all necessary information to ensure prior approval requirements are met within the specified time frames.
Perform all assignments quickly and accurately, on a dialy basis, minimizing accounts receivable to maximize claim reimbursement.
May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
Be a liaison between departments to ensure effective collections / reimbursement processes are maintained.
Assure appropriate telephone / email / fax coordination with patients, sales managers, billing agencies, physician offices, etc.
Assure timely shipping of product to patients.
Submit claims to the insurance company and reconcile payments.
Interacts with and supports Sales Managers.
Other tasks as assigned.
CORE COMPETENCIES / KNOWLEDGE & SKILL REQUIREMENTS
Time management skills and multi-tasking abilities required.
Proactive, articulate, and forward-thinking attitude.
Good organizational skills.
Extremely accurate in data entry.
Excellent writing skills including the ability to write a professional business letter.
Ability to gather, decipher and format information into reports.
Intermediate to advanced skills in Excel, Word and Outlook.
Detail-oriented; flexible and creative.
Interpersonal and communications skills to work effectively with all levels of staff.
EDUCATION, EXPERIENCE & TRAINING REQUIRED
Associates Degree or Medical Billing Degree preferred.
3 or more years of recent related medical billing background consisting of referrals, authorization, billing and collections.
Familiar with Workers Compensation policies and procedures.
Previous experience with treatment denials and appeals.
Advanced medical terminology, CPT and ICD-9 coding.
Clear understanding of how to submit paper and electronic claim forms.
ESSENTIAL FUNCTIONS?PHYSICAL POSITION REQUIREMENTS; MACHINES AND/OR EQUIPMENT USED
Must be able to operate personal computer and printer
Able to work standard office equipment (photocopy machine, fax machine, etc.)
Ability to work on a computer up to 8 hours a day.
Regularly required to sit for long periods of time, and occasionally stand and walk.
Regularly uses hands to operate computer and other office equipment.
Close vision required for computer usage.
Occasionally required to stoop, kneel, climb and lift up to 25 pounds.
||1435 North Hayden Road |
Scottsdale, AZ 85257
THIS JOB HAS EXPIRED