Medical Billing Specialist

Summary/Objective The Medical Billing Specialist is responsible for timely and accurate billing of all medical claims for a vision care practice. This position requires working with insurance companies, creating and submitting insurance claims, processing insurance claims, and any necessary follow-up work for rejected claims. Additional responsibilities include A/R, collections, and the revision of claims in third-party databases as necessary to secure payment. Primary Function • Ensure timely and accurate submission of claims • Ensure proper coding and filing of all Medical claims • Review of Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines • As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance • Monitor, and follow-up on unpaid claims • Monitoring and managing all denied and rejected Medical claims for proper corrections and refiling • Ensure rejected bills are corrected and resubmitted • Accurately prepare, maintain and monitor practice specific MIPs reporting Minimum Qualifications/Requirements • Minimum of three years of billing experience working with commercial insurance/Medicaid/Medicare required. • CPT/ICD 10 coding experience required; certification preferred. • Computer Skills: 3 years (Required) • medical billing: 3 years (Required) • CPT/ICD 10 Coding: 1 year (Preferred)