Medical Billing Specialist

Job Summary

Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols.

Responsibilities

  • Learn and become proficient with the premiere pediatric system in the industry- Partner Billing System by PCC.
  • Efficiently analyze insurance claims throughout the submission process, ensuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance.
  • Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time.
  • Consult with the practice manager, front desk staff and providers on a regular basis to implement and maintain quality assurance, optimal billing procedures and client satisfaction.

Qualifications

  • Minimum 3 years of medical billing or closely related experience
  • Familiarity with the proper use of ICD-10, CPT, HCPCS coding rules
  • Working knowledge of medical terminology, anatomy and physiology
  • Knowledge of Medicare’s National Correct Coding Initiatives edits
  • Strong communication and interpersonal skills
  • Proficient in office-based computer programs- Word, Excel, Outlook, G-mail
  • Experienced in navigating payer websites for policies and rules, as well as conducting general online research.
  • Strong time management and customer service skills
  • Strong attention to detail and follow through

Ideal Characteristics

  • Passion for achieving excellence
  • Works with a blend of quality, speed, and accuracy
  • Able to work independently and on a team
  • Strong interpersonal and communication skills
  • Effective and efficient with problem solving
  • Motivated learner who is able to grow through challenges
  • Primary care or Pediatric billing experience
  • AAPC, CPC medical coder certification

Benefits

  • Health and Dental Insurance
  • Financial support for environmentally-friendly commuting
  • CTO accrued from the 1st day of employment
  • 6 paid holidays with 5 additional paid days during the Thanksgiving and winter holiday period
  • Paid time off for volunteer community service
  • Employee retirement account with 3% company matching