Medical Billing Specialist

Full Time
Philadelphia, PA
Posted
Job description

The Anesthesia Biller/Collector Specialist is responsible for timely, appropriate billing and collection of monies from Payors on specialized and complex accounts. This position is responsible for providing advanced, high-caliber problem identification and resolution as it pertains to billing, and collections.

  • We encourage and support your personal and professional growth.
  • UltraCare provides top-tier health benefits, matching 401(k), paid time off and mental fitness days.
  • We foster a flexible work life balance aimed at a high degree of job satisfaction.

Job Duties and Responsibilities:

  • Maintain strict confidentiality with regard to patient information and corporate business.
  • Follows-up on all assigned accounts within the system work queues in accordance with pre-established goals
  • Responds timely and accurately to all incoming correspondence and inquiries from Payors, patients and other pertinent parties; handles all correspondence, documentation and files in a professional and confidential manner
  • Reviews the insurance coding denials for their assignment, as well as other areas in the Specialist Coding work queues, to make the appropriate coding recommendations for charge corrections, write offs or appeals as needed
  • Initiates recommendations and action plans for resolving accounts to operations and client management
  • Prepares refund requests for any monies identified as a duplicate, erroneous or overpayment due to the patient or insurance company
  • Works on special accounts/projects as requested by management; train on the development of junior staff as needed
  • Works with team members within billing companies and other departments to acquire the required information on a timely basis to resolve outstanding issues, as appropriate
  • Performs tasks as directed by the Practice Administrator/Operations Manager

Education:

High school diploma or GED preferred

Qualifications include:

  • Minimum of 1 years of Billing experience, preferred
  • Knowledge of insurance types
  • Knowledge of CMS medical billing rules
  • NYS insurance rules such as NYS Emergency Services and Surprise Bill law
  • Verify insurance payments and address any payments not in compliance with existing contracts.
  • Interpret reasons for denial and reprocess corrected claims to ensure prompt payment.
  • Organize workflow and be able to complete all tasks in a timely manner.
  • Familiarity with EMR and EHR.
  • Should also be proficient with Microsoft Office (Word, PowerPoint, Excel, Outlook)
  • Ability to work in a team environment.

Vision Statement: UltraCare will restore trust in healthcare by transforming care delivery to be safer, more cost effective and customer centered. We provide innovative solutions for global healthcare issues that companies and providers rely on for success and excellence.

JOB ID: UWA00

Job Types: Full-time, Part-time

Pay: $18.00 - $21.00 per hour

Benefits:

  • 401(k) matching
  • Flexible schedule
  • Health insurance
  • Paid time off

Schedule:

  • Day shift

Ability to commute/relocate:

  • Philadelphia, PA: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Medical billing: 1 year (Preferred)

Work Location: In person

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