Offer summary

Qualifications:

Proven experience as a Medical Billing Specialist, particularly with AdvancedMD software., In-depth understanding of insurance policies including HMO/PPO, Medicare, and Medicaid., Strong attention to detail and excellent communication skills., High school diploma required; certification in medical billing is highly desirable..

Key responsibilities:

Process and submit medical claims to insurance companies efficiently.

Verify patients' insurance coverage and obtain necessary authorizations.

Review patient bills for accuracy and completeness, and follow up on unpaid claims.

Collaborate with healthcare providers to ensure accurate and timely billing processes.

Job description

This is a remote position.

Schedule: 7am to 6pm Monday to Friday US Eastern Time

Job Overview: The Medical Billing Specialist plays a vital role in the healthcare industry, focusing on managing and processing medical billing and coding tasks remotely. This position is ideal for detail-oriented professionals with a deep understanding of medical billing practices and healthcare insurance policies. The candidate should have extensive experience with AdvancedMD medical practice software, demonstrate accuracy in processing claims, and be dedicated to maintaining the financial integrity of healthcare services.

Responsibilities:

Claims Processing: Process and submit medical claims to insurance companies efficiently.
Insurance Verification: Verify patients' insurance coverage and obtain necessary authorizations.
Bill Review: Review patient bills for accuracy and completeness, and collect any missing information.
Claim Follow-Up: Follow up on unpaid claims within standard billing cycle timeframes to ensure timely resolution.
Payment Verification: Check insurance payments for accuracy and compliance with contract discounts.
Issue Resolution: Resolve billing issues and respond to inquiries from patients and insurance companies promptly.
Software Utilization: Prepare, review, and transmit claims using AdvancedMD billing software.
Regulation Compliance: Maintain up-to-date knowledge of billing regulations and policies to ensure compliance.
Record Keeping: Keep accurate records of patient billing information and payment statuses.
Provider Collaboration: Collaborate with healthcare providers to ensure accurate and timely billing processes.

Requirements

Experience: Proven experience as a Medical Billing Specialist with a focus on AdvancedMD medical practice software.
Insurance Knowledge: In-depth understanding of insurance policies including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Medical Terminology: Familiarity with medical terminology and healthcare billing practices.
Software Proficiency: Proficiency in medical billing software, with a specific emphasis on AdvancedMD.
Attention to Detail: Strong attention to detail and commitment to accuracy in all billing tasks.
Communication Skills: Excellent communication and problem-solving skills.
Education: High school diploma required; certification in medical billing or a related field is highly desirable.

Highly Regarded Skills and Experience:

Telehealth Experience: Experience with telehealth and remote healthcare services.
Advanced Certification: Advanced certification in medical billing and coding.
Analytical Skills: Strong analytical skills with the ability to interpret and manage complex data.
Complex Issue Resolution: Experience in handling complex billing issues and discrepancies.
Independent Work: Ability to work independently, manage multiple tasks efficiently, and adapt to changing priorities.