Medical Billing Specialist

Physician Services USA; Columbia (SC); On-site; USD 35,000 - 50,000; Full time

Job summary

A family-oriented physician practice management company in NE Columbia is looking for a skilled medical billing professional. Responsibilities include claims management, analyzing insurance payments, providing account updates, and preparing reports. Ideal candidates will have at least a high school diploma and experience in medical billing, along with strong organizational and interpersonal skills. This position offers a great opportunity to be part of a dedicated team focused on quality service.

Qualifications

• At least 1 year of experience in medical billing is preferred.
• Working knowledge of CPT and ICD-10 codes is required.
• Must have strong organizational and interpersonal skills.

Responsibilities

• Review and submit claims daily within client practice management system.
• Analyze and resolve insurance overpayments and underpayments.
• Prepare monthly and ad-hoc reporting for facilities.

Skills

Medical billing experience

CPT / ICD-10 codes knowledge

Medical and Insurance Terminology

Microsoft Word

Microsoft Excel

Analytical skills

Organizational skills

Interpersonal skills

Education

High school diploma or GED

Job description

Family-oriented physician practice management company in NE Columbia is seeking to hire experienced and driven professionals in the medical billing field.

Responsibilities include the billing and account resolution aspects of revenue cycle management, providing management and clients with reports and account updates with some direct client- and patient-interaction while handling multiple projects and deadlines simultaneously.

ESSENTIAL DUTIES:

• Review and submit claims daily within client practice management system.
• Apply incoming ERA and manual payments to patient accounts.
• Analyze and resolve insurance over payments and under payments.
• Conduct tracking/follow up on all outstanding claims.
• Denial resolution; including submission of medical records and appeals.
• Respond to patient & client-direct communications with a high level of customer service.
• Manage qualifying collection agency accounts, if applicable.
• Submit monthly patient statements.
• May assist with client credentialing and contracting.
• Prepare Monthly and Adhoc reporting for facilities and office management ·
• Maintain monthly financial goals and office metrics.
• Performs other duties as assigned by office manager and/or client management.

QUALIFICATIONS AND SKILLS:

• High school diploma or GED required.
• Minimum of 1-year experience in medical billing preferred.
• Working knowledge of CPT / ICD-10 codes.
• Average understanding of Medical and Insurance Terminology.
• Average knowledge of Microsoft Word and Microsoft Excel.
• Ability to analyze standard revenue cycle metrics.
• Possess strong organizational skills and the ability to communicate with clients and management.
• Manage and develop interpersonal relationships designed to promote teamwork and achieve internal goals.
• Payment processing/accounting experience preferred.