Medical Billing Specialist Job in Akron, Ohio

Medic Management Group, is a health care services entity specializing in providing services including: medical billing, collection recovery, credentialing, coding & auditing, consulting, and practice management., Medic Management Group has a wide variety of clients covering private practices, post-acute care facilities, hospitals and health systems, and clinical research institutions.

If you are looking for a company that delivers outstanding client service, while encouraging its employees to grow and provides a welcoming team environment, then we have a wonderful opportunity for you! We are looking for Medical Billing Specialists to join our team!

Our goal as a Medical Billing Specialist is to ensure physician services are billed in a timely manner and to obtain the highest reimbursement. To achieve this goal we focus on using our available technology to process unpaid claims and payments as efficiently as possible. We manage the follow up on denied claims, claims edits, and rejections so they may be resubmitted in a timely manner.

This position will be located in our Akron/Fairlawn, OH corporate office or in our Uniontown, OH office once training is complete.

Responsibilities:

·         Read and understand explanations of benefits.

·         Knowledge of CPT, Modifiers, ICD-9 and ICD-10 codes

·         Assure all charges are entered within 24 hours of receipt from the physicians/providers.

·         Make necessary changes to patient accounts (address, name, telephone number, and insurance changes, etc.)

·         Assure all claims are sent electronically on a daily basis

·         Review and work claim edits and rejections on a daily basis.

·         Paper claims are sent on a weekly basis.

·         Patient statements are sent on a monthly basis or weekly based on volume.

·         Post all insurance and patient payments within 24 hours of receipt (batched by date of receipt and daily balancing is required).

·         Work all denials at the time of receipt.

·         Prepare and send appeals.

·         Begin insurance follow-up at 31 days for claims.

·         Answer telephone calls regarding all billing inquiries.

·         Submit copies of overpaid accounts to Billing Manager for review.

·         Work patient AR based on the practice policy.

·         Send accounts to collection based on practice policy.

·         Maintain strictest confidentiality of patient private health information (PHI) by disclosing only information requested.

·         All practice records received should be scanned to client folders on the company network drives.

·         Performs additional duties as requested by upper management.

Qualifications:

·         High school graduate or equivalent.

·         Requires minimum of 1-2 years of continuous experience in medical billing.

·         Knowledge of billing systems.

·         Knowledge of and experience with working unpaid claims for all insurance payers, Medicare, Medicaid, Bureau of Workers’ Comp

·         Previous experience in a customer service environment

·         Ability to meet deadlines and work under pressure

·         Ability to read, understand and follow oral and written instructions; able to follow multiple practice policies.

·         Ability to professionally communicate with patients and co-workers.

·         Ability to speak clearly and concisely.

·         Ability to use correct grammar, correct spelling and punctuation usage required in notes and emails.

·         Ability to multi task.

·         Ability to operate a telephone system.

·         Knowledge of using MS Outlook, Word, Excel software programs.

·         General knowledge of utilizing office equipment: computer, copier, fax, scanner.

Physical Demands

·         Work may require sitting for long periods of time.

·         Occasionally lifting files or paper.

·         Operating a computer, keyboard, a calculator, telephone, copier, fax, scanner or other such office equipment during a normal business day.

·         Vision must be correctable to 20/20 for viewing information on computer screen and reading information in paper format.

·         Hearing must be in the normal range for telephone contacts.

·         Will require viewing computer screens and typing on computer keyboards for prolonged periods of time.

Reasonable accommodations may be made be made to enable individuals with disabilities to perform the essential functions.

This job description is intended to provide a basic guideline for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as necessary.

As a Medic Management employee you are offered our competitive compensation package, which includes exceptional health benefits, ancillary benefits, and 401(k) plan with a company match. Each employee is provided a generous amount of paid time off and seven paid holidays which are immediately available.

Learn more about Medic Management Group by visiting our website www.medicmgmt.com

We are an equal opportunity employer.