Medical Billing Specialist (AR and Collections)

High school diploma or GED equivalent At least 3 years of medical billing and collections experience Home Infusion experience (plus) Hospital experience (plus) Chemotherapy experience (plus) Experience in calculating drug units (plus) Experience in intrathecal Pain Management (plus) Ability to exercise good judgment in solving complex situations Excellent verbal and written communication skills Strong work ethic with integrity and credibility Self-directed, detail-oriented, conscientious, and organized Ability to handle problems with multiple variables Tolerance for interruptions and distractions Proficiency in Microsoft Office (Outlook, Word, Excel)

Follow up on submitted invoices for timely payment Evaluate payments/denials for correctness and application Identify and initiate bad debt write-offs and A/R adjustments Detect and resolve overpayments and/or duplicate payments Process refund requests Obtain necessary patient or insurance information Troubleshoot payment discrepancies Document phone calls and interactions in detail Maximize claim reimbursement Resolve denial issues within 5 days of receipt Maintain HIPAA compliance Understand NDC numbers, metric quantities, and infusion supplies Maintain knowledge of insurance plans, medical terminology, billing procedures, regulations, and codes Share knowledge with other staff members