Medical Billing Specialist

Medical Billing Specialist

We are currently seeking a medical billing specialist in our Monroeville office. This is a retina office which is a sub-specialty within Ophthalmology and the office is continuously growing.

Job Responsibilities:

• Perform posting charges in electronic practice management system.
• Post electronic payments, credit card and cash payments in patient accounts in PM system.
• Resolve denials.
• Review eligibility prior to visit and updating information for clinical use.
• Obtain prior authorizations for branded drug falling rules of step therapy on various payer portals.
• Work with specialty pharmacies to receive part b drugs for patients.
• Submit request for foundation payments and subsequent posting of those payments.
• Talk to insurance companies to resolve payer issues.
• Answer patient invoice questions.
• Conduct internal audits comparing encounter forms to be billed with medical record in Nextgen.

Job Requirements:

• Excellent customer service skills.
• Practice Management software experience with posting charges and payments.
• Must be detail oriented with strong attention to detail.
• Excellent verbal and written communication skills.
• Proficient typing skills.
• Good understanding of computer software.
• Previous experience in billing a must and preferably in a private medical practice.
• Nextgen experience preferred but not required.