Job Description
Job Description
We are seeking a Medical Billing Specialist based in Nottingham, Maryland, United States. This role primarily involves remote work but will require on-site presence for a few hours, 1-2 days a week for necessary office tasks. This role offers a contract-to-hire employment opportunity in a high-volume billing environment within the healthcare industry.
Responsibilities:
• Handle the processing of a large number of low-dollar claims for outpatient physical therapy across 65 locations
• Utilize various systems such as Web PT, Patient Management System, NDrive, and Aurora for tasks like claim edits and finding remits
• Assign claims and perform eligibility edits as part of the daily routine
• Be responsible for using the Document Imaging Software and Claims Edit System to maintain accurate records
• Manage and monitor customer accounts, taking appropriate action when necessary
• Submit appeals using Cerner Technologies, Accounts Receivable (AR), and other relevant tools
• Contribute to the team of billers to manage the high volume of claims processed monthly, ensuring accuracy and efficiency
• Perform other billing functions as required, including claim administration and medical billing.• Minimum of 3 years of experience as a Medical Billing Specialist or similar role.
• Proficiency in Cerner Technologies.
• Demonstrated ability with Accounts Receivable (AR).
• Experience with appeals process in medical billing.
• Proficiency in billing functions and claim administration.
• In-depth knowledge and experience in Medical Billing.
• Familiarity with claims processing and claims edit systems.
• Experience in submitting appeals in medical billing.
• Excellent communication, organizational, and multitasking skills.
• Ability to work independently and as part of a team.
• Strong attention to detail and problem-solving skills.
• Knowledge of medical terminology and regulations.
• High school diploma or equivalent; certification in Medical Billing or related field is a plus.