Medical Billing Specialist

Responsibilities:

• Post charges accurately in the electronic practice management system.
• Process electronic payments, credit card payments, and cash payments in patient accounts.
• Resolve denials and resubmit claims as necessary.
• Verify insurance eligibility prior to patient visits.
• Obtain prior authorizations for injectable medications through various payer portals.
• Coordinate with specialty pharmacies to procure medications covered under patients' insurance plans.
• Submit requests for foundation payments and ensure accurate posting of received payments.
• Communicate with insurance companies to address and resolve payer issues.
• Assist patients with inquiries regarding invoices.
• Conduct internal audits to ensure accuracy between encounter forms and medical records in Nextgen.

Requirements:

• Proven experience in medical billing, preferably within a private medical practice.
• Familiarity with practice management software for posting charges and payments.
• Detail-oriented with strong attention to accuracy.
• Excellent verbal and written communication skills.
• Proficient typing skills and computer literacy.
• Ability to provide excellent customer service to both internal and external stakeholders.
• Experience with Nextgen software is preferred but not required.

Nice to Have:

• Experience in physician office billing.
• Prior knowledge of Medicaid billing procedures.

Schedule:

• Start time at 7:30 am; schedule varies with occasional days ending at 5 pm due to insurance processing times.

Dress Code: Business casual.

If you are a detail-oriented individual with a passion for medical billing and are looking to join a dynamic team, we encourage you to apply.