Medical Billing Specialist- Certification Required

About the position Responsibilities • Examine claim submissions daily for accuracy and completeness, working claim rejections to successful submission. • Evaluate and audit accounts to determine the status and appropriate action required to receive the correct payment. • Document follow-up properly in practice management systems. • Research and follow-up on denials in Availity and escalated denials in NextGen utilizing denial management reports and communication. • Receive, review, and respond to communication from insurance companies. • Use websites, phone, and/or correspondence to contact payers regarding reimbursement for unpaid accounts. • Contact clients or internal partners to collect information necessary for submission and payment of claims. • Work together with management to identify payer trends and non-payment issues. • Identify, verify, and document account adjustments according to policy and procedure. • Make sure service level and productivity requirements are met as they relate to reimbursement of accounts, resolution of tasks, and response to inquiries, etc. • Improve and maintain positive working relationships and partner with internal and external customers by providing superior customer service. • Assist with claim implementations for assigned clients, as needed. • Perform periodic audits to reconcile claims and accounting billings. • Other duties as needed. Requirements • Minimum of 1-2 years of experience in medical billing and denial management. • CRCR or CPC certification is required. • Laboratory Billing experience required. • Working knowledge of medical billing terminology, such as CPT and ICD-10 codes. • Thorough knowledge of the healthcare revenue cycle and payer processes. • Proficient in Microsoft Excel and Office Suite. • Detail-oriented with a focus on quality and consistently meeting goals. • Experience with NextGen, Availity, or other healthcare practice management systems. • Strong organizational and analytical skills. Nice-to-haves • Laboratory Billing experience (Preferred) • Experience with NextGen, Availity, or other healthcare practice management systems. Benefits • Health insurance Apply tot his job Apply To this Job