Medical Billing Specialist - Collections

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Requirements:

• At least 3 years of experience in Medical Billing and Collections.
• Knowledge of medical billing codes, including CPT, HCPCS coding, claims modifiers, and ICD-10 diagnosis coding.
• Familiarity with Revenue Cycle Management systems and Practice Management Systems.
• Understanding of different types of insurance coverages and claims.
• Ability to read and interpret explanations of benefits.
• Experience with coordinating with insurance companies.
• Strong adaptability and quick learning abilities.

Responsibilities:

• Review and analyze explanation of benefits, remittance advice, and denials to resolve account receivables.
• Prepare and analyze aging reports.
• Utilize various channels to collect receivables from payers.
• Review and update claims corrections and required documents in the clearinghouse portals.
• Identify underpayments and prepare documents for appeals.
• Create batches and post-received payments.
• Code claims using CPT and ICD-10 codes.
• Contact patients, providers, and payers regarding eligibility and claims follow-up.