Billing Specialist

QUALITY MEDICAL IMAGING OF NEVADA; Las Vegas (NV); On-site; USD 42,000 - 62,000; Full time

Job summary

QUALITY MEDICAL IMAGING OF NEVADA seeks a skilled Billing Specialist to join our medical billing team in Las Vegas. You will process and follow up on insurance claims, assist patients with coverage questions, and help ensure timely payments across Medicare, Medicaid, and private payers.

The role requires 3–5 years of medical billing experience, proficiency with ICD-10 and CPT coding, and strong communication and accounting basics.

Qualifications

• Three to five years of medical billing experience with ICD-10 and CPT codes.
• Knowledge of basic accounting principles.
• Excellent verbal and written communication and customer service skills.
• Ability to work independently on projects and manage time.
• Attention to detail.

Responsibilities

• Submit clean insurance claims by paper or electronic submission.
• Track delinquent collections and denials.
• Review patient statements for accuracy.
• Post payments and adjust accounts per guidelines.
• Maintain confidentiality per HIPAA and Medicare/Medicaid rules.
• Coordinate with insurers to meet pre-authorization requirements.
• Assist intake with insurance verification.
• Address patient billing inquiries and issues.
• Refer complex cases to Billing Supervisor as needed.

Skills

ICD-10 CPT codes

Accounting principles

Verbal and written communication

Customer service skills

Time management

Attention to detail

Education

Medical Billing Certification

Tools

Excel

Job description

It's not your same old repetitive billing experience. You haven't experienced billing in it's most interesting form until you have taken on the challenge of being a Medical Billing Specialist in the mobile medical billing environment. Challenge yourself to work in a setting that will challenge all you know.

Quality Medical Imaging, a state-of-the-art provider of Digital X-rays Ultrasounds is currently hiring. We have been in business since 2001 and we are looking for talented people to join our team! We are currently recruiting for full time Billing Specialist.

The Billing Specialist

The Billing Specialist is responsible for processing and collecting all insurance claims and assist patients with inquiries regarding their health care insurance coverage. This is an exciting opportunity for someone that is interested in having exposure to all aspects of medical billing.

Duties and Responsibilities

• Prepares and submits clean claims by either paper or electronically in a timely manner to various insurance providers.
• Tracks and follows up on delinquent insurance collections and denials.
• Prepares and reviews patient statements for accuracy.
• Maintains and works accounts receivable report for billing.
• Identifies and resolves patient billing complaints.
• Performs various collections including contacting patients by phone and correcting and resubmitting claims to third-party payers.
• Responsible for posting payments and adjusting accounts per company billing guidelines.
• Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations.
• Adheres to Medicare and Medicaid guidelines.
• Works with insurance providers to expedite the collection process and ensure any pre-authorization requirements are met.
• Reviews accounts for possible assignment and makes recommendation to the Billing Supervisor and prepares information for the collection agency.
• Responsible for facility billing.
• Responsible for processing refunds to insurance carriers. Notifies VP of refunds and creates adjustments on accounts.
• Responsible for return mail. Working with facilities, patients, and insurance websites to obtain correct information.
• Responsible for verifying insurance coverage on claims prior to submitting to carriers.
• Assists intake Department on insurance questions relative to orders or insurance verification
• Performs other related duties as assigned.

Requirements

Medical Billing Certification along with:

• Three to five years of experience working with various aspects of medical billing. Ability to interpret and use ICD-10 and CPT codes.
• Knowledge of basic accounting principles.
• Experience working in excel.
• Excellent verbal and written communication skills.
• Excellent customer service skills.
• The ability to independently work on projects and manage time.
• Excellent attention to detail.