Medical Billing Specialist

1+ years

Not Disclosed

Lancaster

10 Nov. 23, 2024

Job Description

Job Type: Full Time Remote Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Medical Billing Specialist

Employer: RKL
Work Environment: Remote

Why Choose RKL?

RKL offers a comprehensive benefits package and prioritizes a work-life balance, providing:

Flexible Work Options: Remote working environment.
Comprehensive Coverage: Full medical, dental, and vision benefits.
Career Development: Investment in training, mentorships, and advancement opportunities.
Paid Time Off: Generous vacation, sick time, and floating holidays.
Retirement Benefits: 401(k) match.

Who We Are

RKL is a leading advisory firm committed to helping organizations and their leaders tackle everyday challenges while preparing for future opportunities. Our collaborative culture fosters mutual success for our employees, clients, and the communities we serve.

About the Position

The Medical Billing Specialist provides selective medical billing services to clients within the post-acute healthcare industry, including nursing homes, retirement communities, home health, and hospice facilities. The role involves managing third-party billing and addressing claim denials while delivering exceptional client service.

Key Responsibilities

Training & Collaboration:
- Work with Medical Billing Senior Specialist and Manager to learn billing procedures and claims follow-up on various client systems.
- Build collaborative relationships with team members to address client needs.
Billing Expertise:
- Gain a comprehensive understanding of Medicare, Managed Care, and Medicaid billing regulations.
- Review client-provided medical documentation to ensure clean claims submission.
- Communicate with senior team members about additional information needed for claims.
- Handle coinsurance billing for secondary or tertiary insurances.
Claims Management:
- Stay informed on medical coding and billing trends, regulations, and laws to recommend policy changes.
- Investigate and resolve medical claims following established procedures.
- Consistently follow up on unpaid claims using monthly aging reports.
- Analyze and address returned, denied, or incorrect claims.
Client Service & Communication:
- Keep senior team members informed of troublesome accounts receivable balances.
- Deliver high-quality, timely service that exceeds client expectations.
- Perform research and provide solutions to projects as needed.
Other Duties:
- Apply organizational skills to analyze and interpret client-specific information.
- Take initiative to utilize resources, guidance, and policies effectively.
- Execute additional responsibilities as assigned.

Qualifications

Education:
- High school diploma or equivalent (GED); Associate degree and medical billing certification preferred.
Experience:
- 1+ year of administrative experience, ideally in healthcare.
Skills:
- Proficiency in Microsoft Office suite and ability to adapt to new technologies.
- Strong attention to detail and ability to manage multiple tasks.
- Capability to research, analyze data, and resolve issues effectively.
- Familiarity with medical terminology and billing practices.

Why Join RKL?

At RKL, we value passion and provide a supportive team environment to invest in your future. Learn more about this opportunity and our services at www.rklcpa.com/careers.

Equal Opportunity Employer

RKL is committed to diversity and inclusivity. We welcome all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

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Medical Billing Specialist

Job Description

Job Title: Medical Billing Specialist

Employer: RKL Work Environment: Remote

Why Choose RKL?

Who We Are

About the Position

Key Responsibilities

Qualifications

Why Join RKL?

Equal Opportunity Employer

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