Medical Billing Specialist — AR & Insurance Claims

STERLING HEALTH SOLUTIONS INC; Mount Sterling (KY); On-site; USD 32,000 - 42,000; Full time

Job summary

Sterling Health Solutions, Inc. is seeking a Full Time Clerical in Mt Sterling, KY to manage medical, dental, and vision billing and accounts receivable. Responsibilities include charge entry, payment posting, and patient service to maximize revenue and patient satisfaction.

Responsibilities cover reviewing demographics and coding at entry, claims submission, and cross-coverage for authorization and reception tasks to support efficient operations. Experience in AR and CPT/ICD-10 coding is valued.

Qualifications

• High school diploma or GED is required.
• An Associates degree is preferred.
• At least 3 years of accounts receivable experience, preferably in an FQHC.
• Dental billing software experience is preferred, but willing to learn.

Responsibilities

• Input all charges into the practice management system with emphasis on accuracy.
• Post all adjustments to patient accounts per the Procedure Manual.
• File charge, payment and adjustment batches by batch date.
• Review providers’ coding for Medicare compliance and timely reimbursement.
• Provide customer service for patients and authorized representatives. Respond to patient calls within 1 business day.
• Verify demographic and insurance information at charge entry to ensure accuracy.
• Follow-up on outstanding insurance claims at 60 days and patient balances at 90 days.
• Submit insurance claims daily and manage denials/rebills as needed.

Skills

Accounts receivable

Customer service

Communication skills

CPT/ICD-10 coding

PC skills

Education

High school diploma or GED

Associates degree preferred

CPC certification preferred

Tools

Practice management software

Job description

Sterling Health Solutions, Inc. is seeking a Full Time Clerical in Mt Sterling, KY to manage medical, dental, and vision billing and accounts receivable. Responsibilities include charge entry, payment posting, and patient service to maximize revenue and patient satisfaction.

Responsibilities cover reviewing demographics and coding at entry, claims submission, and cross-coverage for authorization and reception tasks to support efficient operations. Experience in AR and CPT/ICD-10 coding is valued.