Medical Billing Specialist: Claims & Patient Care Expert

Ally Medical Management LLC; Austin (TX); Sur place; USD 42 000 - 63 000; Plein temps

Résumé du poste

Ally Medical Management LLC seeks a Billing Specialist to support the revenue cycle. You will collaborate with our third-party billing partner to ensure timely claim processing, accurate follow-ups, and payer compliance, while maintaining confidentiality and integrity in handling medical records and legal documents.

The role emphasizes detailed audits, resolving high-balance accounts, applying approved discounts, and documenting all billing activities.

Qualifications

• Strong understanding of insurance billing practices, COB policies, and denial management.
• Experience with third-party billing coordination and workflow follow-up.
• Familiarity with legal case billing (e.g., WC and attorney involvement).
• High attention to detail and analytical thinking.
• Clear and professional communication skills.
• Proficiency in EMR systems, billing platforms, and Microsoft Office.

Responsabilités

• Perform follow-up on COB and insurance eligibility issues.
• Update patient insurance details and payer IDs for correct claim processing.
• Monitor and resolve outstanding claims with the third-party billing partner.
• Manage workers’ compensation and attorney-related cases with proper documentation.
• Submit corrections to third-party workflows for claim errors or rejections.
• Address deficiencies in medical records required for claim processing.

Connaissances

Insurance billing

Denial management

Analytical thinking

Communication

Attention to detail

Multitasking

Discretion and integrity

Formation

High School Diploma or GED

Bachelor’s degree in healthcare administration or Accounting (preferred)

Outils

EMR systems

Billing platforms

Microsoft Office Suite

Description du poste

Ally Medical Management LLC seeks a Billing Specialist to support the revenue cycle. You will collaborate with our third-party billing partner to ensure timely claim processing, accurate follow-ups, and payer compliance, while maintaining confidentiality and integrity in handling medical records and legal documents.

The role emphasizes detailed audits, resolving high-balance accounts, applying approved discounts, and documenting all billing activities.