Job Description

Job Description

Job Description

Here we grow again!! We warmly welcome career-minded, team oriented individuals who are passionate about medical billing to join our growing team. As a valued member of our billing team, you will have the opportunity to utilize your skillset in tailoring the billing process to meet the specific needs of our clients.

As the Billing Specialist, you will play a crucial role in optimizing the client's EHR, ensuring the timely submission of professional medical claims to insurance companies, posting payments, researching denials, and assisting with coding audits. Your efforts will ensure positive revenue outcomes for our clients, and contribute to the success of our team.

If you have 3 + years of medical billing experience, have Athena, eClinicalWorks or EPIC experience, and want to be part of a collaborative and exciting approach to medical billing, reach out to us. We offer a competitive salary, on-site and hybrid schedule, and a collegiate work environment.

The following is an outline of expectations for the job function for the Billing Specialist. It is not intended to describe all elements of work that may be required. The focus of this role is to support TJB Consulting’s goals and objectives, and to ensure the needs of clients are met.

• Processing of clinical professional charges in a timely and accurate manner, reviewing and processing claims edits for accuracy, submission of claims, and coordination of benefits with multiple payers
• Actively work on claim edit and eligibility work queues to resolve errors and reports patterns to Director of Revenue Cycle Management
• Advanced Proficiency with Microsoft Office Suite
• Accurately posts all insurance payments, contractual and non-contractual adjustments for payers by CPT Code, transfer outstanding balance to secondary insurance or patient responsibility per EOB protocol, and all other payments received for co-payments and patient payments in accordance with practice protocol with an emphasis on accuracy
• Develop and maintain processes to follow up on rejected claims, track claim payments and resolve rejected claim issues by re-submitting claims or contacting appropriate insurance companies when applicable
• Reviews, processes, and draft appeals through research and resubmission to appropriate third party with complete and accurate supporting documentation
• Perform collection activities, such as working aged accounts/AR reports to ensure timely and proper maximum reimbursement through various methods including insurance company websites, phone calls, and other electronic technologies
• Resolves assigned accounts in a timely and accurate manner, maximizing reimbursement in compliance with assigned payer and government regulations, and provider organization and department policies and procedures.

The ideal candidate will have:

• 4 years' experience in a medical office billing department or medical billing service, revenue cycle management, or ambulatory setting billing experience.
• Excellent listening, verbal and written communication skills to support and enhance client relationships
• The ability to multi-task in a fast paced environment
• The ability to diffuse escalated clients and create effective working relationships
• A Positive, friendly, approachable disposition committed to customer service and a desire to learn healthcare related systems and business processes
• A broad understanding of all areas of billing and revenue cycle management

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