Medical Billing Specialist

HOSPICE & PALLIATIVE CARE CHARLOTTE; Charlotte (NC); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical, Vision, and Dental plans thro

28 days of Paid Time Off

Excellent mileage reimbursement rate

403b Retirement plan with matching

Focused programs honoring Veteran pts

Assistance with CHPN certification

Best Orientation and Onboarding

Seasoned Hospice leaders guiding your

Job summary

Hospice & Palliative Care Charlotte seeks a Medical Billing Specialist for the South Charlotte Office in Charlotte, NC. This full-time role handles claims processing, coding, and payer communications to ensure accurate billing for Medicare, Medicaid, and third-party payers, while maintaining compliance with organizational policies.

The ideal candidate has an associate degree or equivalent, at least four years in healthcare billing or accounts receivable, and proficiency with Microsoft Office.

Qualifications

• Associate degree or equivalent in related technical discipline.
• Minimum of 4 years' experience in billing, insurance accounting and/or accounts receivable in a healthcare facility.
• Proficient in Microsoft Office Suite.

Responsibilities

• Process and review claims; make corrections to patient records per policy.
• Enter physician and NP visits and charges into the billing system.
• Ensure all miscellaneous charges are captured on claims (e.g., consulting physician charges).
• Review claims for accuracy; coordinate with other departments to resolve issues before submission.
• Generate UB-04 and HCFA 1500 forms and submit to Medicare, Medicaid, and third-party payers.
• Enter claims in online systems or mail claims as necessary.
• Communicate with Medicare, Medicaid and third-party payers regarding status and denials.
• Assist with monthly billing, cash reconciliation, and revenue reporting.
• Verify Medicare & Medicaid eligibility as needed; assist with commercial authorizations.
• Respond to inquiries from patients, physicians, and insurers about reimbursement.
• Accounts Receivable review; follow up on aging and outstanding claims.
• Coordinate with financial and clinical teams to resolve issues.
• Review aging reports and submit secondary claims as needed.
• Prepare write-offs for submission after collection efforts are exhausted.
• May perform other duties as required.

Education

Associate degree in a related technical discipline

Tools

Microsoft Office Suite

Job description

Medical Billing Specialist

South Charlotte Office - Charlotte, NC 28226

Overview

Position Type Full Time Job Shift Day Education Level 2 Year Degree Travel Percentage None Category Accounting

Benefits

• Medical, Vision, and Dental plans through BCBS
• 28 days of Paid Time Off
• Excellent mileage reimbursement rate
• 403b Retirement plan with matching
• Focused programs honoring Veteran patients
• Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
• Best Orientation and Onboarding program you've experienced
• Seasoned Hospice leaders guiding your career growth

Essential Functions

• Claims Processing and Review Makes necessary corrections and/or additions to patient records as needed in accordance with organizational policies (i.e. level of care changes, location changes, payer source changes).
• Enters physician and nurse practitioner visits & charges into the patient care system.
• Ensures that all miscellaneous charges are included on claims (i.e. consulting physician charges).
• Reviews all claims for accuracy & coordinates with other departments to resolve any issues prior to claims submission.
• Generates UB-04 and/or HCFA 1500 claims and submits claims to Medicare, Medicaid, & all third-party payers.
• Enters claims in Insurance Providers Online Systems or mails claims as necessary.
• Corresponds with Medicare, Medicaid & all third-party payers regarding claims status and resolution of any unpaid/denied claims.
• Assists with preparation of monthly billing, cash reconciliation, and revenue reporting.
• Assists with verification of Medicare & Medicaid eligibility as needed.
• Assists with obtaining Commercial Insurance Authorizations as needed.
• Responds knowledgeably to inquiries from patients, physicians, and insurance companies regarding reimbursement questions.
• Accounts Receivable Review Reviews aging report regularly and follows-up on outstanding claims.
• Coordinates with other financial and clinical team members as needed to resolve outstanding claims issues.
• Reviews report prepared by A/R Specialist of items to be billed to secondary payer (including self-pay) and submit secondary claims as needed.
• Prepares write-offs for submission to A/R Specialist after all applicable collection efforts exhausted.
• May perform other duties as required.

Qualifications

• Associate degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.
• Minimum of 4 years working experience in billing, insurance accounting and/or accounts receivable procedures in a healthcare facility.
• Computer efficiency in Microsoft Office Suite required.