MEDICAL BILLING SPECIALIST II-CBO

Premier Health; Moraine (OH); On-site; USD 42,000 - 52,000; Full time

Job summary

System Support is seeking a Medical Billing Specialist to ensure timely and accurate reimbursement for physician services within a centralized billing office serving multiple specialties.

The role requires collecting and entering claim data, submitting claims per carrier guidelines, and following up on unpaid or denied claims to improve cash flow and revenue cycle performance.

Qualifications

• High School diploma or equivalency.
• Three years of healthcare billing and collections experience preferred; a medical billing certificate or degree may substitute.
• Knowledgeable about third-party billing regulations and CPT/ICD coding.
• Proficient computer and data entry skills.
• Effective problem solving and ability to work independently.
• Working knowledge of spreadsheet applications.
• Proven dependability.
• Effective verbal and written communication skills.
• Detail-oriented with ability to prioritize work.
• Effective time-management skills.

Responsibilities

• Collect and enter timely claim information.
• Submit claims according to insurer guidelines.
• Follow up on submitted claims that are unpaid, rejected, or denied.
• Work within a centralized billing office for multi-specialty physician services.

Skills

Data entry

CPT/ICD coding

Spreadsheet skills

Verbal communication

Written communication

Time management

Dependability

Problem solving

Independence

Education

High School diploma or equivalency

Healthcare billing experience

Medical billing certificate or degree

Job description

FT/ DAYS/ 80 hours per pay

Centralized Billing Office

Summary of Position

The Medical Billing Specialist works to ensure timely and accurate reimbursement on medical claims for physician services rendered. This position is part of a centralized billing office and provides medical billing services for multi-specialty physician services.

Nature and Scope

The Medical Billing Specialist is responsible for collecting and entering timely and accurate claim information. This position will submit claims utilizing insurance carrier guidelines and will also follow up on submitted claims that are unpaid, rejected, or denied.

Qualifications

• 1. High School diploma or equivalency certificate.
• 2. Three years of previous healthcare billing and collections experience preferred. A medical billing certificate or degree will be considered in lieu of experience.
• 3. Knowledgeable about third party billing regulations and CPT/ICD coding.
• 4. Proficient computer and data entry skills.
• 5. Effective problem solving skills and ability to work independently.
• 6. Working knowledge of spreadsheet applications.
• 7. Proven record of dependability.
• 8. Effective verbal and written communication skills.
• 9. Detail Oriented and ability to prioritize work
• 10. Effective time-management skills