Billing Specialist

CarepathRx, LLC; United States; On-site; USD 50,000 - 75,000; Full time

Job summary

Join a leading healthcare company as a Billing Specialist where you will handle medical billing and insurance claims. Your expertise in third-party billing, communication skills, and attention to detail will ensure timely and accurate billing processes. This full-time role offers the opportunity to work within a dedicated Revenue Cycle Team and contribute to patient care.

Qualifications

• Minimum one to three years in medical billing preferred.
• Must have experience with processing medical claims for commercial payers.
• Strong interpersonal, organizational, and effective problem-solving skills required.

Responsibilities

• Handle billing and collection of insurance claims.
• Ensure timeliness and accuracy of billing processes.
• Identify issues in billing and implement corrective actions.

Skills

Medical billing practices

Communication

Problem-solving

Attention to detail

Confidentiality practices

Time-management

Education

High school diploma or GED equivalent

Tools

Microsoft Office

HCN 360

CPR+

Job description

Join to apply for the Billing Specialist role at CarepathRx

Join to apply for the Billing Specialist role at CarepathRx

We are seeking a dedicated Medical Billing Specialist for our Revenue Cycle Team. In this position you will be responsible for the billing and or collection of insurance claims.

Responsibilities

• Understand Third Party Billing
• Identify root cause of issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials.
• Ensure the timeliness and accuracy of billing
• Meet quality assurance, benchmark standards and maintain productivity levels as defined by management.
• Processes patient and insurance changes
• Processes Home Infusion/Nursing claims
• Processes rejections for NCPDP emails to determine if the claim needs to be refiled or submitted for an appeal with the payer
• Able to identify billing trends
• Performs other duties as assigned

Skills & Abilities

• Must have experience processing medical claims for commercial payers.
• Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence.
• Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner.
• Helpful, knowledgeable, and polite while maintaining a positive attitude
• Interpret a variety of instructions in a variety of communication mediums
• Knowledge of Home Infusion
• Knowledge of insurance policies and requirements
• Knowledge of medical billing practices and of billing reimbursement
• Maintain confidentiality and practice discretion and caution when handling sensitive information.
• Multi-task along with attention to detail
• Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division
• Self-motivation, organized, time-management and deductive problem-solving skills
• Work independently and as part of a team
• Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
• Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.
• Basic knowledge of Microsoft Office
• Knowledge of HCN 360 and/or CPR+ preferable
• Medicare knowledge of billing requirements specific to DMEMAC

Qualifications

• High school graduate or equivalent. Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary.
• High school diploma or GED equivalent
• One to three years of related prior work experience in a team-oriented environment
• Experience in medical field and administrative record management
• Background investigation (company-wide)
• Drug screen (when applicable for the position)
• Valid driver's license in state of residence with a clean driving record (when applicable for the position)

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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