Medical Billing Specialist

Company: Inception Fertility Corporate Services
Location: Franklin
Posted on: May 17, 2023

Job Description:

**Full-Time Remote position**


The Medical Billing Specialist is responsible for reviewing rejected claims, voiding, correcting of insurance claims and self-pay posting according to documented procedures. Includes but is not limited to verification of correct patient demographic, insurance information, authorizations, submitting to coding team for verification of CPT and ICD 10 codes, follow up and re-submission of claims rejected by clearing house, follow up on aging accounts and responding to internal department inquiries regarding billing.


Duties:


Demographics - Reviews data entry of patient demographic and insurance information provided to clinic by patient to ensure accuracy of patient account billing.

Insurance Verification - Contacts insurance companies to obtain patient benefit details related to services provided by clinic. Documents information received from insurance companies in practice management system and communicates with Front Desk Coordinator regarding patient financial responsibility.

Prior Authorization - Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in practice management system.

Billing Data Entry - Performs correct data entry of CPT and ICD9 codes based on documentation provided by physician/coding team for correction of medical claim and/or posting of self-pay charges to patient accounts.

Clearing House - Monitors accepted/rejected claims at clearing house level. Makes corrections as necessary to reprocess rejected claims in timely manner.

Month End reconciliation - Reviews end of month spreadsheets and ensures timely billing corrections of services provided each month.

Denial Management - Resolves denied claims within timely manner, utilizing effective follow up and billing techniques to reduce and prevent denials.


Education/Experience required:


Prior experience in a similar role for one year is required.


High school diploma is required.


What we offer you!


Outstanding benefits including health, vision and dental packages, including HSA/FSA, Life and Disability Insurance

18 days of accrued PTO in addition to 10 paid holidays

Fertility benefits

401(k) Retirement Plan

Employee Assistance Program

Continuing Education Reimbursement

Wellness Program

We provide a great, family work environment with internal growth opportunities

Keywords: Inception Fertility Corporate Services, Franklin , Medical Billing Specialist, Accounting, Auditing , Franklin, Tennessee