Medical Billing Specialist responsible for creating and managing insurance claims in pediatric home health care. Collaborating with insurance companies and patients for billing resolutions.
About the role
- 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.
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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