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.