Medical Billing Specialist Job Description template and pdf with duties [2024]

Job summary 1

The Medical Billing Specialist is responsible for coordinating patient and insurance billing for DME, orthotic and prosthetic devices, meeting accuracy, compliance, and productivity standards. In addition, S/he reviews all claims to assure proper documentation, prior authorization, and patient eligibility are met to achieve successful payment of claims while providing exceptional customer service to patients, business partners, and customers.

Duties & Responsibilities 1

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Coordinates and facilitates new orders from the field representatives.
Performs verification of benefits; contacts patients to inform them of their benefits; and collects co-Insurance.
Performs patient registration and check-out procedures.
Serves as point of contact for sales and service representatives on updates to orders, patient communication, and account issues.
Coordinates delivery of ancillary products.
- May perform prior and retro authorizations.
- May participate in the fitting and delivering routine pre-fabricated orthotic devices and/or soft goods that are non-complex in nature.
- Administrative tasks may include tending to mail, overnight shipping, fax, copy, scan, file, office supplies, general correspondence, and the like to ensure efficient office operations.

Requirements & Skills 1

High school diploma or equivalent; some college preferred and 2+ years applicable experience.
Working knowledge of medical insurance/medical terminology; insurance cards and major medical benefits; insurance rules and contracts.
Computer proficiency includes web browser/internet search, MS Outlook, Word, Excel, and PowerPoint capabilities. Technical competence includes the ability to learn new software and systems.

Job summary 2

Our Medical Billing Specialist is responsible for the proper documentation of claims forms and billing of surgical procedures. Extract information from medical records, operative notes, invoices, progress notes and discharges to ensure completeness and accuracy. Capture implants, supplies, drugs and other billable items prior to claims submission. Perform complete chart reviews, verifying patient demographics, assigning codes and modifiers in accordance with coding and reimbursement guidelines for appropriate reimbursement.

Duties & Responsibilities 2

Pull & Prep operative notes from our designated transcription company.
Extract information from medical records, operative notes, invoices, progress notes and discharges to ensure completeness and accuracy.
Perform complete chart reviews, verifying patient demographics, assigning codes and modifiers in accordance with coding and reimbursement guidelines for appropriate reimbursement.
Assists with identifying quality issues with registration and scheduling activities.
- Posts surgical facility billing charges within 24 hours.
- Completed cases are uploaded to our designated electronic claims clearinghouse.
- Maintain requests for information (i.e., operative notes, POPM form, invoices or implant pricing etc).

Requirements & Skills 2

Experience: At least 2-5 years of medical facility billing experience, out of network helpful. Orthopedic/Pain management/ Ambulatory Surgery Center is highly preferred.
Strong knowledge of computerized billing systems. Experience with Vision, AdvantX and/ or Zirmed/Waystar is helpful.
Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.
- Critical thinking to identify and resolve complex problems in a remote work environment.
- Technical expertise in prioritizing tasks while meeting or exceeding deadlines.
- Excellent customer service skills to enhance a cooperative virtual team and energetic work environment.

Job summary 3

We are looking for a motivated and detail-oriented Medical Billing Specialist to greet customers and answer phone calls in a friendly, professional manner and providing billing support services to customers, administration and other departments timely and efficiently.

Duties & Responsibilities 3

Requirements & Skills 3

High School Diploma or GED equivalent
2 years experience with billing durable medical equipment (preferred)
Able to function as a polite, cooperative team member with a positive attitude
- Detail oriented, accurate, and possess general office knowledge
- Able to work independently, efficiently, with the ability to multi task
- Able to seek self-improvement to develop short-comings

Job summary 4

The Medical Billing Specialist is responsible for collecting and managing account payments. This position is responsible for submitting claims and following up with insurance companies for payment fulfillment.

Duties & Responsibilities 4

Requirements & Skills 4

Job summary 5

The Medical Billing Specialist position primarily processes and documents transactions on patient accounts. This person interacts with patient and insurance companies in resolution of unpaid balances, refunds and other billing issues.

Duties & Responsibilities 5

Communicating with patient and third-party contacts (i.e. patients and insurance companies) to ensure timely and accurate processing of account transactions
Provide excellent customer service. Demonstrate excellent telephone skills; maintain professionalism with all types of callers; ability to explain complex policies and insurance terminology to callers with various knowledge levels.
Obtain patient payments over the phone.
- Process insurance claim denials.
- Preparing claims for submission.
- Preparing patient statements.

Requirements & Skills 5

A positive attitude; comfortable with change; Must be able to work with a diverse team
Accurate data entry skills and proficiency with standard office equipment and software such as Windows 7, Excel, Word, and Outlook.
Proven experience meeting daily production standards.
- Problem solving and multi-tasking skills. Ability to work with deadlines while remaining calm, flexible and organized.
- Customer service experience
- High school diploma or equivalent required

Job summary 6

The primary responsibility of the Medical Billing Specialist is to create and oversee administrative functions related to billing in all Health Service clinic facilities, maintain and establish accounting policies, procedures, operations and process for all client and insurance billing, coding, and reporting, as well as successful utilization of Electronic Health Records.

Duties & Responsibilities 6

Assist in communicating basic program information, university and professional guidelines to students, office staff, university faculty, schools, physicians, hospitals, insurance companies, other State and local agencies and the interested public.
Train students in all aspects of clinical administration, including reception, scheduling, organizing, ordering supplies/materials and use of EHR.
Serve as the subject matter expert that is the critical component of successful implementation of medical billing.
Also critical to ensure compliance with correct coding initiative, fraud and abuse regulations, HIPAA and other regulations.
Critical to ensuring ongoing success and expansion of the medical billing initiative.
Update and monitor electronic and paper claims.
- Ensure insurance provider enrollment process and set up.
- Work with Electronic Health Records and oversee implementation of the electronic billing process.
- Proper use and assignment of billing codes.

Requirements & Skills 6

Bachelor's degree; or equivalent combination of training and experience. All degrees must be received from appropriately accredited institutions.

Job summary 7

We are looking for a Medical Billing Specialist to work in our busy and fast-paced office. Ideal candidates will have a positive attitude and be focused on excellent customer service, have the ability to multi-task, the willingness to learn, maintain high patient satisfaction, and have the ability to work as part of an interdependent multidisciplinary team.

Duties & Responsibilities 7

Review and enter charges daily for medical visits and testing
Working through collection accounts for patient while following the company’s policies and guidelines
- Posting payments
- Assist team members in follow-up work
- Obtain authorizations for surgeries

Requirements & Skills 7

Organized and efficient with time
Can work independently and as a team in a professional manner
High School Diploma
Ophthalmology experience preferred but not required
NextGen knowledge preferred
- Excellent communication skills
- Ability to work well with elderly patients
- Attention to detail

Job summary 8

The Medical Billing Specialist is responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgement. Daily duties will include maintaining billing productivity and quality, AR Follow-up, appealing denied claims, posting payments, work clearinghouse rejections, and performing necessary clerical duties associated with maintaining quality patient care.

Duties & Responsibilities 8

Requirements & Skills 8

High school diploma or general education degree (GED); or two to four years related experience and/or training; or equivalent combination of education and experience.
Minimum two years’ experience as a medical biller or similar role.
Solid understanding of billing software and electronic medical records (EMR) eCW experience preferred.

Job summary 9

The Medical Billing Specialist formulates and administer strategies to oversee the billing operations. This includes creating and distributing invoices, requesting payments through 3rd party providers, reconciling payments, supporting collection efforts and adjusting accounts as needed. Must have strong written and verbal communication and analytical skills to perform effectively.

Duties & Responsibilities 9

Requirements & Skills 9

A Bachelor’s Degree from an accredited college/university/equivalent or five (5) years’ experience in accounting in a health care setting is preferred.
Must have three (3) years previous medical billing experience in a skilled nursing facility, assisted living, or a medical setting.
Must possess the ability to plan, organize and effectively present ideas and concepts to community groups/agencies.
- Must possess the ability to communicate clearly and effectively both orally and in writing.
- Must possess the ability to assimilate information from a variety of sources, analyze information and make recommendations.
- Must be proficient in the Microsoft Office Package as well as other medical billing software.

Job summary 10

We are seeking a full-time Medical Billing Specialist.

Duties & Responsibilities 10

File electronic/paper claims to Medicare, Medicaid and commercial insurance payers
Review and analysis of claims
Check eligibility
Obtain authorizations
Insurance claim follow-up
Process rejections and denials
- Initiate claim appeals when necessary
- Post payments and adjustments
- Work with field staff to obtain missing billing documentation

Requirements & Skills 10

Working knowledge of Medical Terminology/Coding (ICD-10, CPT, HCPCS)
Experience in processing claims through a clearinghouse
Homecare Homebase experience a plus