Medical Billing Specialist

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Provide support for our vital Lifeline products by leveraging your medical billing and collection expertise to secure maximum reimbursement while fostering solid relationships with insurance providers and clients.

• Accurately and promptly obtain and enter Medicaid authorizations to ensure the release of clean claims.

• Review claims to verify the accuracy of procedures, diagnoses, demographic, and insurance details.

• Acquire and input equipment upgrades and correspondence from payer agencies.

• Assess and rectify all claims/charge denials and edits communicated through Explanation of Benefits (EOB) and other forms of communication.

• Monitor Accounts Receivable days to ensure they remain within the levels set by management.

• Proactively communicate any identified billing issues.

• Conduct timely follow-ups on billing and claims discrepancies as indicated by the payer.

• Read and interpret insurance Explanation of Benefits.

• Respond promptly to inquiries from agencies, case managers, insurance companies, and internal stakeholders.

• Regularly participate in monthly staff meetings and in-house training sessions.

• Perform additional duties and responsibilities as assigned or required.

⛳️ Requirements

• An Associate's Degree in Medical Billing and Coding or Accounting is preferred.

• A minimum of 2 years of experience in medical billing, ideally with Medicaid and Managed Care reimbursement.

• Familiarity with CPT and ICD-10 coding as well as medical terminology.

• Strong technical skills with Excel and various software, including but not limited to: Billing Software, MS Office, and Insurance Portals.

• High aptitude for learning new programs, system integrations, and business processes.

• Excellent customer service abilities accompanied by strong written and verbal communication skills.

• Capability to manage relationships with diverse insurance payers and agencies.

• A strong work ethic with a proven history of accuracy, reliability, and consistency.

• Ability to think independently, manage multiple tasks, possess strong problem-solving skills, and maintain a mindset geared towards continuous improvement.

• Competence in gaining the cooperation of others in pursuit of company objectives.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with employer match.

• Opportunities for professional development and career advancement.

• Flexible working hours and the option for remote work.