Medical Billing Specialist responsible for creating and sending insurance claims and patient statements for Pediatric Home Service. Analyzing payments, contacting patients, and utilizing billing systems for efficient service delivery.
About the role
- Medical Billing Specialist responsible for creating and managing insurance claims in pediatric home health care. Collaborating with insurance companies and patients for billing resolutions.
Responsibilities
- Create and send insurance claims and patient statements.
- Rebill insurance companies and third parties to secure payments.
- Analyze partial payments and denials from insurance companies for resolution.
- Verify entries made by cashiers, making necessary corrections.
- Contact patients regarding outstanding balances and establish payment plans.
- Send delinquent accounts to collection agencies as needed.
- Process insurance payments in our computerized billing system.
- Train personnel on the computerized billing system as required.
- Respond to billing inquiries from patients and insurance companies.
- Make recommendations to management regarding write-offs and adjustments.
- Conduct confirmations and quality assurance reviews; develop corrective actions for approval.
Requirements
- Minimum 2 years previous medical billing experience required
- EVV experience preferred
- Strong communication and interpersonal skills
- High attention to detail and demonstrated initiative
- Ability to problem solve and work independently
- Technical skills, including experience with Microsoft Excel
- Knowledge of medical coding preferred
Benefits
- Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
- 401(k) Matching to help secure your future
- Tuition Reimbursement to support your educational and professional growth
- Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
- A supportive and fulfilling work environment where your contributions directly impact childrens health and well-being
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