Medical Billing Specialist

Join to apply for the Medical Billing Specialist role at American Health Partners .

The Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing / transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.

Essential Job Duties

• Extract and verify billing information from medical records
• Ensure collection of past?due balances; follow up as needed
• Ensure all patient demographic and insurance info is accurate prior to submitting claims
• Answer patient account inquiries; assist in establishing alternative payment plans when necessary
• Maintain patient account records; settle third?party payer issues as required
• Review Daily Reconciliation Review document for accuracy; enter charges into Practice Management System (PMS)
• Prepare and review patient statements prior to release through PMS
• Ensure timely filing of all Medicare, Medicaid, and third?party insurance claims
• Balance daily charges; reconcile with reports within PMS
• Collaborate with revenue cycle manager and payers on denials / rejections
• Work closely with practice representatives to ensure proper insurance verifications and authorizations are obtained
• Other duties as assigned

Job Requirements

Required Skills

EQUAL OPPORTUNITY EMPLOYER

This Organization is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.

Seniority level

Entry level

Employment type

Full?time

Job function

Health Care Provider

Industries

Hospitals and Health Care

#J-18808-Ljbffr