Medical Billing Specialist (Hybrid)

We are currently seeking Medical Billers to join our team in Harrisburg, PA

PLEASE NOTE - This role is remote, but individuals must be local to the Harrisburg area, as training will be onsite prior to remote

Key Responsibilities:

Perform thorough follow-up and re-billing of unresolved hospital and physician insurance claims.
Research claims and conduct electronic follow-up with various insurance companies via electronic systems or phone.
Review client system notes to track prior work and determine next steps.
Utilize electronic tools or contact insurance companies to determine claim status and take appropriate actions.
Re-bill claims electronically if none are on file or resolve rejections by identifying necessary corrections.
Determine if claims should be billed to patients or written off based on timely filing and other issues.
Submit accounts for write-offs or patient responsibility as needed.
Manage claim denials by correcting or re-billing claims or resolving authorization issues.
Maintain productivity of 40 accounts/day with a 90% quality rating.
Navigate and learn multiple computer systems efficiently.
Provide limited training and support to billing associates.
Adhere to Federal and State guidelines for handling medical receivables.

Must-Have Skills & Qualifications:

Minimum of 2 years' experience in a hospital or physician business office with direct billing and claim follow-up experience.
Experience with Medicare, Medicaid, Managed Care, Blue Cross Blue Shield, or Commercial Insurers; multiple payer types preferred.
Proficiency in Microsoft Windows (Windows 7 and 10) and Microsoft Office Suite (Word, Excel, Outlook 2016).
Familiarity with NaviNet for claim lookup and investigations.
Ability to learn and operate multiple client computer systems.
Strong oral and written English communication skills.
Comfortable with extended phone conversations and assertive in resolving issues with insurance companies.
Demonstrated strong billing and follow-up skills with multiple insurance companies.
Ability to work independently, multitask, and follow instructions effectively.
Thorough knowledge of medical terminology, UB04 forms, 1500 forms, and medical billing systems.

If interested, we encourage you to apply! If you are applicable for this role, we will give you a call with further details.