Medical Billing Specialist

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Job description

Medical Billing Specialist - Follow up & Collections

LHH Recruitment Solutions is searching for a full-time Medical Billing Specialist on a Direct Hire basis for a client in Phoenix, AZ. Our client is seeking a Medical Billing Specialist to handle follow up and collections and obtain additional information for claims processing.

This position is located in Phoenix, AZ and is 100% onsite!

Compensation: $21-24 per hour, with potential sign-on bonus

Schedule: Monday - Friday, 6am-4pm, flexible

Job Type: Direct Hire

Responsibilities:

• Assigning specific codes to medical procedures and diagnoses for billing and reimbursement purposes in the healthcare field.

• Gathering and verifying patient data, including demographic details, insurance particulars, and medical history.

• Compiling and forwarding claims to insurance companies and governmental entities for payment processing.

• Pursuing unpaid claims and addressing denials, resolving any related issues, and resubmitting claims when necessary.

• Engaging with patients to address inquiries and address concerns related to their bills and available payment alternatives.

• Remaining informed about evolving healthcare regulations, insurance policies, and billing protocols.

• Maintaining meticulous and precise records of all financial transactions and patient data.

• Ensuring adherence to healthcare laws and regulations governing billing and privacy matters.

• Demonstrating proficiency in insurance collections, encompassing activities such as negotiating payment arrangements, reviewing overpayments, and handling correspondence.

• Handling patient calls to support collection efforts, including assessing eligibility for charity programs, arranging payment plans, negotiating discounts, and addressing patient complaints.

• Conducting comprehensive account reviews, including tasks like tracing missing information, researching correspondence, resubmitting secondary claims, examining payments, and updating insurance and demographic details in accordance with billing policies.

• Possessing a sound working knowledge of HCPCS, CPT, ICD-9, and ICD-10 codes, medical terminology, and clinical documentation.

• Recognizing billing requirements for various payers and assisting in educating staff on billing prerequisites for both new and existing payers.

• Understanding insurance regulations and guidelines, including CMS guidelines, to effectively communicate with payers regarding outstanding claims, slow payments, underpayments, denials, and to ensure compliant and accurate claim processing.

• Adhering to the Company's Health, Safety, and Environment (HS&E) policies and procedures.

Requirements:

• High School Diploma or equivalent, required

• Undergrad Degree or associated certificates, preferred

• 5+ years of previous experience in medical billing/collections, required.

• Basic Excel proficiency, required

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.