MEDICAL BILLING SPECIALIST II-CBO

Premier Health Partners; Moraine (OH); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Restaurant d'entreprise

Job summary

Premier Health Partners in Moraine, Ohio is seeking a Medical Billing Specialist to ensure timely and accurate reimbursement for physician services. This role is part of a centralized billing office supporting multi-specialty practices.

You will submit claims according to carrier guidelines and follow up on unpaid or denied claims, entering data accurately and maintaining documentation. A HS diploma is required; 3 years of healthcare billing experience preferred, with CPT/ICD coding knowledge

Qualifications

• High School diploma or equivalency.
• 3 years of healthcare billing and collections experience preferred; a medical billing certificate or degree may substitute.
• Knowledge of 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.
• Strong verbal and written communication skills.
• Detail oriented with ability to prioritize work.
• Effective time-management skills.

Responsibilities

• Submit claims according to insurer guidelines.
• Follow up on submitted claims that are unpaid, rejected, or denied.
• Enter claim information accurately and timely.

Skills

CPT/ICD coding

Data entry

Problem solving

Excel / spreadsheets

Communication

Dependability

Time management

Attention to detail

Education

High School diploma or equivalency

Medical billing certificate or degree (preferred in lieu of experience)

Job description

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.

Centralized Billing Office

FT/ DAYS/ 80 hours per pay

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. The Medical Billing Specialist reports to the A/R Manager within the Centralized Billing Office.

Qualifications

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