Medical Billing Specialist

Kalamazoo, MI

Physician Based Practice in Kalamazoo Seeking a Full Time Medical Billing Specialist

Qualifications:

At least three years experience with accounts receivable and billing departments. Knowledge of medical terminology required.
CPC certification preferred.
Demonstrate knowledge and understanding of healthcare reimbursement procedures. ICD-9, CPT, HCPCS coding knowledge required.
Working knowledge of managed care, Medicare, BCBS, and third party insurance procedures and guidelines required.
Personal computer experience required.
Ability to communicate, both oral and written, with staff, patients, and third party payor representatives.
Ability to work tactfully and compassionately with terminally ill patients and their families and/or care givers.
Ability to organize, prioritize and work independently as well as schedule and produce work in a timely manner; also ability to concentrate and pay close attention to details.

Description:

Make a difference. Each day look to make a difference for your co-workers and patients.
Review and transmit claims electronically, as well as prints and mails paper claims in a timely manner.
Identifies and corrects inaccuracies, including coding and demographic errors.
Maintain up to date knowledge and understanding of procedures related to Medicare, Medicaid, BCBS, and third party insurance billing and reimbursement.
Respond promptly and accurately to third party payors’ requests for additional information necessary to process claims.
Updates and adjusts patient accounts as necessary.
Initiates refunds and overpayments when necessary to patients and insurance companies.
Processes and posts patient and insurance company reimbursement payments when necessary.
Resolves all issues or discrepancies regarding payments and claim denials in a timely manner.
Assists the Billing Manager with special requests as needed.
Maintains the confidentiality of all patient, employee, physician, institutional related information. Ensures patients/caregivers are treated with dignity and respect.
Maintains a level of productivity that supports quality, efficient, cost effective functioning of WMCC.
Willingly participates in the performance improvement process, continually looking for ways to improve the processes, including identifying problems and facilitating solutions identification and implementation.
Adheres to the mission, vision, and all policies of WMCC.
Perform all other duties as required and assigned.

Please apply by going to: https://workforcenow.adp.com/jobs/apply/posting.html?client=wmcc1

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