Medical Billing Specialist

Wichita Urology Group; Wichita (KS); On-site; USD 45,000 - 65,000; Full time

Job summary

Wichita Urology Group is seeking a Medical Billing Specialist to perform a full range of billing duties in a fast-paced clinical office. Responsibilities include posting payments, filing denials and appeals, handling patient questions, and pursuing collections to ensure timely cash flow.

The role requires a high school diploma with preferred college coursework and strong attention to detail. You will interact with physicians, staff, patients, and insurers to resolve billing issues efficiently.

Qualifications

• High school diploma; some college preferred.

Responsibilities

• Post patient and insurance payments and handle electronic posting.
• Manage primary and secondary claim denials and appeals.
• Process accounts for collections and prepare refunds.
• Answer patient billing questions and assist with inquiries.
• Obtain authorizations/referrals for surgeries and procedures.
• Prepare patient billing estimates and follow up on payments.
• Handle policy updates and communicate changes to staff.

Skills

Documentation skills

Office equipment proficiency

Guideline interpretation

Communication skills

Active listening

Education

High school diploma; some college preferred

Job description

Medical Billing Specialist

The Medical Billing Specialist works in completion of billing department tasks, including, but not limited to, using coded data to produce and submit claims, working directly with insurance companies, healthcare providers, and patients to process claims, reviewing and appealing unpaid and denied claims, answering patient billing questions, and handling collections on unpaid accounts. May perform other duties as assigned or requested.

• Post patient and insurance payments (including electronic posting)
• Work primary and secondary claim denials
• File Medicare appeals and redeterminations
• Process accounts for collections
• Prepare refunds
• Perform end-of-day process
• Answer phone calls and assists patients with questions
• Obtaining authorization and referrals for surgeries (elective and urgent) and procedures
• Prepare patient letters with billing estimates
• Follow-up on surgery payments
• Prescription Pre-authorization
• Work insurance follow-up and updates
• Process overpayments for recoupment or refund
• Statement processing
• Policy updates
• Communicating pertinent policy updates to staff
• Other duties as requested and assigned

Qualifications:

• High school diploma; some college preferred

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Skill in appropriate documentation and records maintenance.
• Skill in usage of PC, multi-line phone, copier, fax, and printer.
• Ability to interpret, adapt and apply written guidelines and procedures to standard work practice.
• Ability to speak effectively before individuals and/or groups.
• Able to hear average or normal conversations and receive ordinary information.
• Movements frequently and regularly required using the wrists, hands, and/or fingers.
• Using primarily just the fingers to make small movements such as typing, picking up small objects, or pinching fingers together.
• Average, ordinary, visual acuity necessary to prepare or inspect documents or products, or operate machinery.
• Prolonged periods of sitting, standing or walking may be required, should be able to transport approximately 0-25lbs of charts or files.

Working Conditions:

• Fast paced clinical office environment
• Contact with Physicians, staff, patients, outside medical practices and insurance companies