Medical Billing Specialist
Job Description
Company located in Mt. Laurel is seeking a temporary Medical Billing Specialist. This is an on-site position and the hours are 8:30 to 5:00 – Monday through Friday. The duration of the assignment will be approximately four months. Great working environment!
Essential Job Functions:
Processes incoming referrals three times daily.
Run a daily report on prior day admissions. Reviews patient account to ensure all information is accurate and eligibility current.
Medicare Payer – Notice of Elections are printed and manually entered into Esolutions
for processing.
Medicaid Payer – Fax the NJ State required form to physician for signature. If eligible
and we are billing room/board charges, send appropriate letter to nursing facility.
Managed Medicaid – Process above procedure along with obtaining the authorization.
Commercial Payer – Verify coverage and benefit. Obtain authorization and extensions,
as needed.
Prepare billing and transmit electronically.
Utilize Esolutions to adjust or correct Medicare claims.
Monitor and resolve reimbursement issues.
Coordinate accounts receivable activities to meet required schedules for billing and financial reporting.
Communicate with appropriate clinical staff to obtain requested information needed in order to receive reimbursement.
Prepare adjustments to the accounts receivable system as required.
Participate in team meetings, as necessary.
Deposit checks and prepare batches.
Post payments to patient accounts.
Go to bank when needed.
Enter physician visits into Cerner.
Disburses and reconciles agency petty cash.
Compiles un-reimbursed care costs and reports results monthly.
Assist in training of other A/R staff as needed.
Assists other accounts receivable staff in resolving billing and collection problems.
Qualifications:
Education or Degree Required: High School Diploma or equivalency
Three years’ experience as a medical biller, hospice billing preferred
Ability to problem-solve billing issues and communicate findings
