Medical Billing Specialist

Position Summary:
Responsible for all aspects of medical AR collections for a physician medical group. Will be responsible for claim denial follow up for all assigned insurance payers, resolving billing problems and answering patient and clinic inquires. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments

Qualifications:
• High School Diploma or GED
• 1-2+ years medical billing and/or collections experience in a physician’s or other medical facility setting
• Knowledge of governmental insurance plans (Medicare Part B and C, Medicaid and associated advantage plans, Tricare, etc.) and commercial insurances (PPO, HMO, EPO, HRA, etc.)
• Working knowledge of CPT, HCPCS, and ICD-10
• Understanding of HIPPA guidelines
• Working knowledge of Word, Excel, and Outlook
• Experience with EMR software (eClinicalWorks preferred, but not required)
• Must be able to multi-task, meet deadline and be a team player

Job Responsibilities:
• Follows up on insurance billing to ensure timely receipt of payments.
• Demonstrates the ability to professionally interact with patients and insurances companies regarding sensitive financial matters and recapture unpaid balances.
• Receives and resolves patient billing inquiries; initiates adjustment requests as necessary
• Follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments
• Reviews assigned accounts on a monthly basis and reports inconsistencies and correct errors as appropriate
• Provides support for inquiries on accounts
• Researches issues and follow up with all parties
• Initiates payer and/or patient refund requests for overpayments that have been researched
• Initiates debt write off requests

Who We Are:
Peyton Resource Group (PRG) has a 20-year track record of delivering real results for our clients. With offices in Dallas, San Antonio and Austin, PRG is an innovative industry leader utilizing the latest technology to drastically reduce the time-to-hire problem plaguing most companies today.
What We Do: We innovate. We understand. We collaborate. We move forward. We get IT done.

How We Do It:
We partner with world-class organizations that offer exciting career paths to their employees.
We cultivate relationships with the best and brightest talent in the marketplace.
We leverage technology in a way that is helping to redefine the staffing industry.
Our Results: We solve today's critical staffing challenges, while delivering best-of-class professionals to our clients.