Medical Billing & Revenue Cycle Specialist

Omega; Oregon; Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health benefits

401(k) plan with employer match

Paid time off and holidays

Bonus programs / commissions

Job summary

Omega Healthcare Management Services in Oregon seeks a Billing Administrator to review and confirm work orders, gather patient demographics, insurance info, and documentation to ensure accurate billing and timely payment.

You will work in accounts receivable, follow up on denials, process statements, and communicate effectively with clients and carriers. Previous medical office billing experience and familiarity with Epic, Brightree, HCPCS, CPT coding are required.

Qualifications

• High School or Vocational School graduate.
• Proficient in Microsoft Office software.
• Previous medical office experience.
• Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.
• HME and Brightree experience required.
• Experience with Epic is required.

Responsibilities

• Performs the review and confirmation of work orders prior to billing, verifying accuracy of order and required documentation.
• Monitors the confirmation work queue to ensure timely confirmation of work orders.
• Tracks incomplete information and communicates feedback to management and intake staff.
• Works accounts receivable aging reports performing follow up in accordance with policies and procedures.
• Generates and processes statements and claim forms in an accurate and timely manner.
• Obtains, verifies and maintains customer demographics and insurance information for billing purposes.
• Works to resolve carrier denials and correspondence for proper payment of claims.
• Shares responsibility through timely communication of identified problems to assure proper follow up is completed to expedite claims and ensure proper payment.
• Identifies potential discrepancies in claims payment processing.
• Answers questions and resolves problems related to billing operations.
• Provides clear documentation of all communication related to accounts in account or claim notes.
• Reviews credit balance accounts on a monthly basis.
• Prepares appropriate paperwork when refunds are warranted, based on history of account and contractual agreements; forward to Lead Billing Account Specialist for approval and processing.
• Assists clients with questions, payments and account resolution.
• Makes payment arrangements and process statements and take collection measures when necessary.
• Maintains current knowledge of carrier specific requirements by attending workshops, reading newsletters and acting as liaison in carrier meetings.
• Provides communication and teaching to Billing Account Specialists, Payment Posting Specialist and Billing Records Technician.

Education

High School Diploma or Vocational School

Tools

Epic

Brightree

Job description

Omega Healthcare Management Services in Oregon seeks a Billing Administrator to review and confirm work orders, gather patient demographics, insurance info, and documentation to ensure accurate billing and timely payment.

You will work in accounts receivable, follow up on denials, process statements, and communicate effectively with clients and carriers. Previous medical office billing experience and familiarity with Epic, Brightree, HCPCS, CPT coding are required.