Medical Billing Specialist

Position Type

Full Time

Job Shift

Day

Description

On-Site Position -- Allentown, PA

Summary:  The billing specialist is responsible for coordinating patient and insurance billing for our multi-specialty orthopaedic group and providing patient care excellence by performing the following duties.

Essential Functions:

•    Responsible for following entire revenue cycle from charge entry through insurance and patient payments. 
•    Answers telephone, and responds to inquiries from insurance carriers, patients and co-workers.
•    Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts.
•    Contacts patients regarding collection of outstanding balances.
•    Establishes payment plans to help patients manage payment of bills.
•    Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
•    Retrieve messages from voicemail and forward to the appropriate personnel.
•    Operates computer to process, store, and retrieve health information.    
•    Other duties may be assigned.

Qualifications:  

•    High school diploma or general education degree (GED).  
•    Two to 3 years related billing experience; or equivalent combination of education and experience.            
•    Medicare experience preferred.
•    Detail oriented, outgoing and professional
•    Previous medical billing and surgery billing experience required
•    Experience with billing program software preferred
•    Knowledge of ICD-10, CPT, HCPCS codes and documentation guidelines
•    Working knowledge of third-party insurance
•    Effective communication skills
•    Ability to work independently and as part of a team
•    Prior customer service representative experience beneficial