Medical Billing Specialist

MedVanta, LLC; Bethesda (MD); On-site; USD 26,000 - 32,000; Full time

Job summary

MedVanta, LLC in Bethesda, MD is seeking a Central Billing Office Accounts Receivable Representative to perform a variety of AR duties, resolve denied claims, manage aging buckets, and coordinate documentation for appeals and payer communications.

The ideal candidate will have a High School Diploma, 2+ years of related experience (orthopaedic setting preferred), proficiency with Microsoft Office and electronic billing systems, and strong organizational, interpersonal and communication skills.

Qualifications

• High School Diploma.
• 2+ years of related experience; orthopaedic setting preferred.
• Proficiency with Microsoft Office suite and electronic billing systems.
• Extensive knowledge of insurance, benefits, medical terminology, and medical billing.
• Experience with billing and accounts receivable or payors.

Responsibilities

• Investigates and resolves denied claims.
• Manages claims from all aging buckets, including posting, appeals, ARs.
• Identifies delinquent accounts and pursues collection as needed.
• Coordinates medical record documentation for appeals.
• Communicates patient and billing information to insurance carriers.
• Prepares weekly status reports for management.
• Assists with medical biller duties and patient statements.
• Other duties as assigned.

Skills

Accounts Receivable

Billing

Communication

Education

High School Diploma

Tools

Microsoft Office

Electronic billing systems

Job description

• Pay or shift range: $19 USD to $23 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.

The Central Billing Office (CBO) Accounts Receivable Representative is responsible for performing a variety of complex accounts receivable-related functions for the Central Billing office. The CBO Accounts Receivable Representative reports directly to the designated Central Billing Office leader.

Duties include, but are not limited to:

• Investigates and resolves denied claims.
• Works and manages claims from all aging buckets, including posting, appeals, ARs.
• Identifies and reviews delinquent accounts and pursues collection as needed.
• Performs and documents follow-through efforts in a timely manner.
• Coordinates medical record documentation to be submitted with appeals.
• Communicates accurate patient and billing information to insurance carriers.
• Prepares weekly status reports for review with management.
• Assists with medical biller duties, including but not limited to handling insurance claims, submitting claims to insurance, collecting, posting, and managing patient account payments, and preparing and reviewing patient statements.
• Other duties as assigned.

Required Education & Experience

• High School Diploma.
• 2+ years of related experience, with experience in an orthopaedic setting preferred.
• Proficiency with Microsoft Office suite of products well as electronic billing systems.
• Extensive knowledge of insurance, benefits, medical terminology, and medical billing.
• Experience working with billing and accounts receivable or both commercial and non-commercial payors.
• Strong interpersonal skills - ability to develop relationships and collaborate and influence in a centralized organization.
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
• Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience.
• Able to work independently.
• Exudes professionalism in presentation.

Physical Demands

• Must be able to sit for long periods of time and lift up to 25 pounds
• Must be able to use appropriate body mechanics techniques when performing front desk duties.
• Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
• Adequate hearing to perform duties in person and over telephone.
• Must be able to communicate clearly to patients in person and over the telephone.
• Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.