Billing Specialist

Job Title: Billing Specialist

Hourly Rate: $4.00 – $4.50 / HR

Start Date: ASAP

Full Time

Company Overview:

We are a company built on trust and loyalty. MBVA 24/7 started in 2018 and has continuously fostered skilled and talented Virtual Assistants for many clients. Our team of virtual assistants provides services all over the US, and we sure won’t be stopping there! Our main office is located in Arizona and Manila. We have a legion of virtual assistants all over the Philippines who work directly with our clients.

Our clientele ranges from doctor’s offices to publishing companies. We make sure that our Virtual Assistants get all the training they need for a seamless partnership with our clients. MBVA 24/7 is committed to providing only the best to our partners.

We are here for you. Our purpose is to help you in succeeding in the medical and business virtual world and we won’t stop until you get there!

Position Overview:

The primary purpose of the Billing Specialist is to navigate the day-to-day billing functions to ensure claims are submitted to all payers in a timely manner and in accordance with current acceptable reimbursement principles relating to payer guidelines to maximize reimbursement within the organization. Charge Processing –Ensuring all billing documents are accurately processed in a timely manner

Job Responsibilities:

• Submit claims to the insurance company. They then follow up with both the insurance company
• Ensure the patient demographics and insurance information is accurate for initial claim submission and follow-up
• Prepare and submit billing data and medical claims to insurance companies
• Responsible for research and secure payment for insurance accounts
• Follow-up required daily accounts based on work queue assignment to reduce the A/R
• Review Charge review work queues as assigned.
• Follow-up required daily accounts based on account work queue assignment to reduce AR and maximize revenue
• Performs routine data entry and/or review of claim edit work queues
• Maintains current knowledge of regulatory billing requirements for the specified payers and various specialty-specific limitations or payer expectations.
• Prioritize work to minimize interruptions and increase efficiency in the collection process
• Provide five-star customer service, including patients, coworkers, vendors, and, management
• Work in a team environment and participate in constructive feedback
• Ability to handle numerous tasks simultaneously and with flexibility.
• Verify insurance coverage and obtain necessary authorizations for procedures
• Collaborate with the medical office staff to ensure accurate documentation and coding
• Stay updated on changes in healthcare guidelines and regulations
• Strong knowledge of medical coding systems and terminology
• Familiarity with medical billing software and electronic health records (EHR) systems
• Excellent attention to detail and accuracy in coding and billing processes
• Ability to analyze complex medical records and apply appropriate coding principles
• Strong communication skills to effectively interact with insurance companies as needed to verify patients’ information and update the PM system Knowledge of insurance guidelines, claim submission processes, and reimbursement procedures
• Claims Reconciliation- Resolve all electronic claims rejections and verify carrier receipt
• Denial Management- Track and trend denials and report it to Management
• Charges Audits- Perform audit during charge entry daily
• Enter and update insurance correctly in EPIC Practice Management System
• Adheres to and understands the Desert Kidney Associates, PLC rules and regulations in regards to Medicare, Medicaid, and HIPAA guidelines.
• Other duties as assigned

Job Qualifications:

• High school diploma or equivalent required
• 2-3+ years’ experience in Medical Billing or equivalent experience in a healthcare environment
• Familiar with using a Practice Management System
• Good verbal, and interpersonal skills, organizational skills, attention to detail, and written communication skills.
• Proficient in the English Language both written and verbal
• Detailed-oriented, reliable, and able to multi-task in a fast-paced, high-volume work environment
• Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
• Ability to prioritize tasks.
• Ability to function well in a high-paced and at times stressful environment.
• Proficient with Microsoft Office Suite or related software.
• Understanding and knowledge of EOBs
• Must be able to communicate effectively with Supervisor, patients, and peers and have the capability of establishing good working relationships with both internal and external customers.

Hardware and Software Requirements:

Hardware:

• AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
• 16GB DDR4 RAM
• 120 – 480gb SSD
• Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
• 1 – 2 Monitors (at least 21in)
• 1080p HD Webcam
• Internet Speed: 50mbps (Fiber/DSL) LTE not accepted

Software:

• Genuine Windows 10 Licensed Computer
• Microsoft Office Suite