Proven experience as billing specialist of 3-4 years prior Experience in Medical Billing
Adherence to laws and best practices in regards to dealing with customers and data
Comfortable dealing with numbers and the processing of financial information
Excellent knowledge of MS Office (particularly Excel) and ER software (JDE or other)
Proficiency in English
Results-driven and patient
High degree of attention to detail and trustworthiness
BSc degree in Finance, Accounting or BA
Requirement:
3-4 years prior Experience in Medical Billing
Minimum Bachelor’s Degree in Commerce/Finance/Arts/ Pharmacy/ Microbiology or related
Knowledge of basic medical terminologies such as coding-ICD10, CPT & HCPC
Good understanding of insurance procedures and guidelines
Reviewing claim accuracy prior to claim Scrubbing and Submission
Analysis and resolution of denied claims/cases. Identify and resolve billing issues
Experienced in Managing the Overall Revenue Cycle
Quality & AR Analyst, Denial management, AR Specialist and AR Follow Up
Payment Postings, reimbursement & collection analysis and reporting
Benefits / Eligibility, Medical Coding & Basic Demographic Verification
Knowledge about enrollment & credentialing and EDI & ERA/EFT setup
Knowledge about Data Conversion and EMR implementation
Excellent in English communication skills both verbal & written, spoken English in American pronunciation is desired
Good Command over Excel, word and health industry related software tools
Excellent Organizational, Analytical skills and able to adapt to changing situations
Mandatory Requirements:
Billing candidate must have following specialty billing knowledge
Internal Medicine
Family Medicine
OB/GYN
Psychiatry Billing
Ophthalmology and can easily handle provider.