Medical Billing Specialist

Location
Minneapolis, Minnesota
Posted
May 07, 2019
Closes
Jun 06, 2019
Job Type
Employee
Employment Status
Full Time

Job Title:  Medical Billing Specialist

Children’s Respiratory and Critical Care Specialists, P.A. provides families with outpatient specialty care for respiratory illness and inpatient services for children with complex multi-system illness and trauma. 

Job Summary:

Provide daily management of claims processing and denied claims. Perform regular and consistent follow up, denial management, correction and/or reprocessing claims as necessary to ensure timely resolution.

Job Description/Responsibilities:

  • Manage all denials and accounts receivables daily
  • Contact payers to determine reason for claim denial
  • Provide a high level of customer service to families and third party payers
  • Perform charge corrections, submit replacement appeals to third party payers
  • Utilize all resources available, including electronic inquires to verify eligibility, and claim status
  • Exercise good judgement towards account resolution and document all activity in clear, accurate, and consistent manner
  • Meet departmental productivity and quality assurance standards
  • Resolve billing errors and work with third party payers, toward efficient and effective claims resolution
  • Inform business office manager of repetitive billing errors, third party payer trends, denials, or payment fluctuation, to ensure proper handling and escalation when necessary
  • Maintain a thorough knowledge of third party billing and collection requirements for payers
  • Contact families for additional information in order to have claims processed and paid in a timely manner
  • Actively participate in creating and implementing improvements
  • Performs other responsibilities as needed/assigned

*This job description is not intended to be all-inclusive, but is intended to be a generalized guide of job duties. Management may change the job responsibilities and expectations based on business requirements.

Job Type: Full-time 

Monday – Friday from 8 am to 4 pm in our Minneapolis location

Desired start date: Late May/Early June

Experience: 

  • Experience in medical claims/denials:  2 year (Preferred)
  • eClinicalWorks experience preferred, but not required
  • Experience with Microsoft Office (Word, Excel, Outlook)

Interested applicants should submit cover letter and resume to hoppe@crccs.com by Tuesday, May 28, 2019. 

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