Randstad Medical Billing Specialist in Greenville, Texas
Medical Billing Specialist
salary:$11 per hour
date posted:Friday, February 8, 2019
job type:Temp to Perm
Medical Billing Specialist
Summary: The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid.
Responsible for the timely submission of technical or professional medical claims to insurance companies.
Job Responsibilities: Obtain referrals and pre-authorizations as required for procedures Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims Answer all patient or insurance telephone inquiries pertaining to assigned accounts. Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection reports
Working hours: 8:00 AM - 5:00 PM
Skills: Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Use of computer systems, software, 10 key calculator
Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
Able to work in a team environment
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of accounting and bookkeeping procedures
Knowledge of medical terminology likely to be encountered in medical claims
Education - HS Diploma or GED
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