Remote Medical Billing Specialist I

Makovicka PT; Omaha, Northern (NE, KY); Hybride; USD 35 000 - 48 000; Plein temps

Avantages offerts par ce poste

Remote work after training

Centralized billing team

Growth within multi-clinic healthcare

Résumé du poste

Makovicka Physical Therapy is seeking a detail-oriented Billing Specialist I to support our centralized billing team across 22 clinics. The role handles claims processing, payer correspondence, account follow-up, and payment posting, with remote work after in-office training.

Ideal candidates have medical billing experience, strong communication skills, and the ability to manage multiple priorities in a fast-paced healthcare setting.

Qualifications

• High school diploma or equivalent required.
• Strong attention to detail and organizational skills.
• Ability to manage multiple tasks and meet deadlines.
• Strong written and verbal communication skills.
• Ability to work independently as well as part of a team.
• Proficiency with computers, email, Microsoft Office, and electronic systems.
• Ability to maintain confidentiality and handle protected health information appropriately.

Responsabilités

• Prepare, review, and submit electronic and paper insurance claims.
• Review claims for accuracy and completeness prior to submission.
• Monitor claim status and follow up on outstanding claims.
• Research and resolve claim rejections, denials, and billing errors.
• Correct and resubmit claims as necessary.
• Process insurance and patient payments accurately.
• Post payments, adjustments, and contractual write-offs according to established procedures.
• Review accounts receivable and follow up on outstanding balances.
• Assist with identifying and correcting billing discrepancies.
• Verify insurance information and assist with resolving eligibility or coverage issues.
• Maintain accurate billing documentation and account notes.
• Process secondary and tertiary claims when applicable.
• Assist with authorization and referral-related billing issues.
• Communicate with insurance companies regarding claims, benefits, payments, denials, and account questions.
• Respond to billing-related emails from clinics, insurance representatives, patients, and other members of the organization.
• Maintain professional and timely written communication.
• Document payer and patient communications in the appropriate systems.
• Escalate complex payer issues or recurring problems to the appropriate billing team member.
• Assist patients with questions regarding insurance balances, statements, payments, and account activity.
• Provide clear and professional explanations of billing and insurance processes.
• Direct complex financial or clinical questions to the appropriate department.
• Maintain patient confidentiality and comply with HIPAA and organizational privacy policies.
• Work assigned billing queues and accounts according to established productivity and quality standards.
• Assist with monthly and periodic billing projects.
• Identify trends in denials, rejections, and payment issues and communicate concerns to leadership.
• Follow established billing policies, payer requirements, and organizational procedures.
• Assist other members of the billing department as needed.
• Perform other duties related to medical billing and revenue cycle operations as assigned.

Connaissances

Detail-oriented

Organized

Persistent

Professional

Team-oriented

Problem-solving

Adaptable

Accountable

Formation

High school diploma or equivalent

Outils

Microsoft Office

EMR/PM system

Description du poste

Makovicka Physical Therapy is seeking a detail-oriented Billing Specialist I to support our centralized billing team across 22 clinics. The role handles claims processing, payer correspondence, account follow-up, and payment posting, with remote work after in-office training.

Ideal candidates have medical billing experience, strong communication skills, and the ability to manage multiple priorities in a fast-paced healthcare setting.