Medical Billing Specialist

Philadelphia, Pennsylvania 19079 | contract

Post Date: 01/26/2018 Job ID: 15661 Industry: ACCOUNTING/FINANCE
Medical Billing Specialist opening with our healthcare client in Sharon Hill, PA, about 10 miles from Philadelphia, PA

Pay Rate:  $20/hr

Looking for a candidate who is a detail-oriented and focused professional billing specialist with a successful track record handling complicated assignments.

Highly experienced in reconciling insurance and patient payments and well-versed in billing software and medical insurance regulations. 

Advanced Microsoft Excel knowledge - Pivot Tables & V-Lookups would be a plus.

Essential Functions
  • Timely follow up on insurance claim denials, exceptions or exclusions and resolve accordingly.
  • Make necessary arrangements for authorization; medical records request, completion of additional information requested by the Insurance companies. 
  • Manage actions relating to patient refunds; delinquent accounts and collection agencies
  • Assist SOX; Insurance and other internal  audits
  • Reading and interpreting insurance explanation of benefits
  • Regularly meet with Manager to discuss and resolved reimbursement issues or billing obstacles. 
  • Bachelor's Degree required in Accounting or related financial discipline.
  • 3 years of Billing experience required; 5 years of experience preferred
  • Advanced Excel - Pivot Tables & V-Lookups a plus
  • Familiarity with medical terminology and drug classification, HCPCS/CPT and ICD-10 coding
  • Working knowledge of billing and payment cycles,  as well as insurance  benefits investigation, drug authorization process.
  • Experience with the Insurance and  PBM appeal process
  • Ability to multi-task and work courteously and respectfully with internal and external partners. 
  • Ability to develop and manage relationships with various Insurance payers 
  • Goal-oriented, revenue-driven with high level of accuracy and attention to detail.  
  • Excellent communication skills

Medical Billing Specialist - 15661

Sarah Latzo

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