Medical Billing Specialist 2
Job Description
Full-time| M-F, 8am-4:30pm| PG7 | Weekly earned wage access is an option.
*Pharmacist Technician License or recent Pharmacy Tech Licensure and Preferred 5 years or more Pharmacy tech experience in retail pharmacy or pharmacy billing is preferred.
Job Purpose or Objective(s): As a Medical Billing Specialist 2, you will maintain an advanced understanding of coding and billing. Compile and submit claims to insurance companies for third-party reimbursement. Follow up on denials. You will report to Medical Billing Management.
Primary Tasks
- You will prepare and submit claims to payers either electronically or by paper
- Correct claims for re-submission in multiple systems
- Reach and maintain department productivity and quality goals
- Use methods such as phone, email, and regular mail to communicate with staff, patients, and insurance companies to resolve billing issues.
- You will research overpayments, underpayments, payment denials due to rejections and reviews pending claims.
- Billing Non- CDIB patients would require verifying payments and adjustments, prints monthly statements for the non- CDIB holders and Talihina Community Clinic.
- Work in multiple systems to follow up on denied claim to resolve issues before claims are processed untimely.
- Download files to batch and post payment to accounts manually or electronically.
- Maintain strictest confidentiality; follow all HIPAA guidelines
- Perform other responsibilities may be as assigned
Job Requirements
- Great understanding of insurance policies and procedures
- Knowledge of HIPAA guidelines/regulations
- Three [3] years’ related experience