Medical AR Specialist

Unruh Spine Center is seeking a detail-oriented and proactive Medical Coder and Biller to join our team. As a Medical Coder and Biller, you will play a crucial role in ensuring proper reimbursement for healthcare services provided.

Responsibilities:
– Billing and Claims Management: Reviewing, processing, and submitting medical claims to insurance companies and government healthcare programs (such as Medicare). This involves ensuring that claims are accurately coded, properly documented, and submitted in a timely manner to maximize reimbursement.
– Follow-Up on Unpaid Claims: Monitoring the status of outstanding claims and following up with insurance companies to investigate and resolve any unpaid or denied claims. This may involve identifying reasons for denials, submitting appeals, and re-submitting claims as necessary.
– Payment Posting: Recording and posting payments received from insurance companies, patients, and other third-party payers into the organization’s accounting system. This includes reconciling payments with billed amounts and identifying any discrepancies.
– Accounts Reconciliation: Reconciling accounts receivable balances to ensure accuracy and completeness. This involves comparing billing records, payments, and adjustments to identify and resolve any discrepancies.
– Aging Analysis: Monitoring the aging of accounts receivable and identifying delinquent accounts. Developing strategies and implementing procedures to address overdue accounts, such as sending reminders, making collection calls, or setting up payment plans.
– Resolving Billing Inquiries: Addressing inquiries from patients, insurance companies, and other stakeholders regarding billing issues, account balances, and payment status. Providing assistance and clarification as needed to resolve billing disputes and ensure customer satisfaction.
– Reporting and Analysis: Generating reports and analyzing data related to accounts receivable performance, such as aging reports, collection metrics, and denial rates. Using this information to identify trends, assess performance, and make recommendations for process improvements.
– Compliance: Ensuring compliance with healthcare regulations, billing guidelines, and industry standards. Staying informed about changes in healthcare laws and regulations that may impact billing and reimbursement processes.
– Collaboration: Collaborating with other departments within the organization, such as billing, coding, and revenue cycle management teams, to streamline processes, address issues, and optimize revenue cycle performance.

– Working knowledge of billing for chiropractic, acupuncture, physical therapy, general medicine, allergy testing, immunotherapy, and pain management, a plus.

Requirements:
– Billing Certification
– High school diploma or equivalent.
– Working knowledge of medical coding and billing.
– Strong communication skills, both written and verbal, to effectively collaborate with insurance companies, patients, and healthcare providers.
– Attention to detail and the ability to accurately document claim status and follow ups.
– Ability to work independently, prioritize tasks, and meet deadlines.
– Strong problem-solving skills, with the ability to resolve claim-related issues effectively and efficiently.

If you are looking for a challenging and rewarding opportunity in medical billing, we invite you to join our team. We offer competitive compensation and benefits packages, as well as a supportive and inclusive work environment.

To apply, please submit your resume and a cover letter detailing your relevant experience in medical billing. Only shortlisted candidates will be contacted for an interview.