Medical Billling Specialist

Job Description

Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967.

Job Summary - Medical Billing Specialist responsible for accurately billing medical procedures and services.

Job Duties

• Prepare and submit billing data and medical claims to insurance companies including any additional clinical information as necessary.
• Make changes to demographic or insurance information as needed to produce accurate claims.
• Bill claims both electronically and manually, as needed.
• Must have ability to analyze coding to ensure proper billing of claim.
• Request and attach required clinical documentation as needed for processing of the claim.
• Examine patient charges for accuracy and request any mission information.
• Compare EOBs to current fee schedule to ensure proper processing of claim.
• Review unpaid and / or denied claims. Correct and resubmit claims to payors; submit appeals.
• Follow up with insurance companies, addressing denials and rejections, etc.
• Report any unresolved disputed claims to management when necessary.
• Prepare bills and invoices and document amounts due.
• Record information about the financial status of patient accounts and status of collection efforts.
• Complete various job duties within the billing office as needed.
• Work collaboratively with other billing team members.

Qualifications