Contact Us 877.823.3669

Medical Billing AR Specialist - Oreland in Flourtown, PA at Accounting Now

Date Posted: 2/19/2018

Job Snapshot

  • Employee Type:
  • Location:
    Flourtown, PA
  • Job Type:
    Health Care
  • Experience:
    Not Specified
  • Date Posted:
  • Job ID:

Job Description

Our client in Oreland,PA is seeking a Medical Billing Specialist with accounts receivable follow up experience. The ideal candidate will have 3-5 years Hospital or Physician billing experience as well as a working knowledge of billing regulations and coding. Excellent communication skills and the ability to communicate clearly with internal and external contacts a must. Candidates must have Patient Accounting software experience. Proficiency in a Windows environment & MS Office preferred.

Summary of essential job functions

  • Review and process outstanding Client accounts receivable, as assigned, to facilitate subsequent payment and claims adjudication on a timely basis; working an average of 40 to 50 accounts daily
  • Perform insurance verification as well as the preparation and submission of electronic and paper claims for various carriers, including, but not limited to governmental and managed care payers
  • Review payments, from both remittances and EOB's, for accuracy. Process appropriate adjustments and/or payments when necessary
  • Investigate and reprocess denials and partial payments
  • Prepare patient files verifying completeness and accuracy of information necessary for billing and payment, including, but not limited to:
    • Patient/Guarantor data
    • Insurance data
    • Authorizations (when necessary)
    • Financial data to include charges, payments, and adjustments
  • Follow all HIPAA related procedures ensuring the maintenance of patients' PHI (Protected Health Information)
  • Other related tasks as assigned

Minimum requirements

  • Proficient in Microsoft Word and Excel and Outlook
  • Knowledge of CPT-4/HCPC, ICD-9-CM, ICD-10CM, DRGs and Revenue Codes
  • Knowledge of UB-04, and 1500 bill forms
  • Minimum of 3 years experience in a Hospital patient accounting or medical insurance environment preferred
  • Familiar with third party billing practices, including but not limited to managed care payers and governmental payers