Billing Specialist

Company: Valley Medical
Location: Burnsville
Posted on: May 7, 2022

Job Description:

Job DescriptionSalary: The Medical Billing - Accounts Receivable Specialist will work directly with the Revenue Cycle Manager to assist and respond to claims processing errors, following up with insurance and resolving account issues. The position will also entail daily duties, such as, resolving aging accounts receivable, processing patient refunds, and processing mail. The employee will observe company policies and all applicable laws and regulations regarding healthcare claim accounts receivables. They will work closely with other staff to share pertinent patient information and to identify and resolve billing issues and questions.Duties and Responsibilities:

• Work directly with insurance companies to appeal and resolve unpaid and denied claims
• Convey pertinent billing information to patients and providers
• Enter payments from patients and payers into billing system
• Ensure all payer and patient payments have been appropriately allocated, helping to alleviate the financial burden to patient
• Audit claims and resolve issues while working with patient and insurance company
• Handle collections on unpaid accounts
• Complete medical records requests and corresponding invoices
• Identify trends/recurring issues, working with third party vendor data, and present to supervisor for remediation
• Communicate consistently and professionally with other VPRWC employees and insurance company
• Adhere to HIPAA guidelines and other relevant state and federal regulations, and company policies regarding to compliance, integrity, patient privacy and ethical billing practices.
• Perform other tasks or special projects as assignedKnowledge and Skill Requirements:
  • Working knowledge of commercial insurance, Medicare/Medicaid, PMAPS, Workers Compensation and Personal Injury claims
  • Can effectively utilize electronic health record systems and other billing technologies
  • Understands HIPAA and other relevant regulations affecting patient information and billing practices
  • Working knowledge and application of basic accounting practices, ICD-9 and 10, CPT and HCPCS coding.
  • Solid Microsoft Office/Google Suite skills
  • Strong analytical skills
  • Detail oriented, flexible and creative
  • Ability to confront difficult situations and make appropriate and timely decisions
  • Effective prioritization and multitasking with demonstrated ability to consistently meet deadlines
  • Ability to work well independently as well as part of a team
  • Persistence and problem solving
  • Effective communications
  • Customer service orientationRequired Qualifications:
    • High School Diploma / GED (or higher)
    • 5+ years of experience in medical billing and / or AR follow up
    • Experience working with Electronic Health Records (EHR) billing systemsPreferred Qualifications:
      • College Degree
      • Billing / coding certification and continuing education
      • Pain Management billing experience
      • Knowledge of medical terminology

Keywords: Valley Medical, Burnsville , Billing Specialist, Accounting, Auditing , Burnsville, Minnesota