Description
The Medical Billing Specialist reviews system notes and claims, calculates expected reimbursement, determines whether claims need re-billing, adjustments, patient-responsibility transfers, medical-record transfers, or paper conversion, and coordinates with the accounts receivable calling team. The role also ensures claim fields are complete and accurate, attaches documentation, maintains activity records, manages daily accounts through Excel or the work-assignment system, and prioritizes accounts by dollar amount and days in accounts receivable. Applicants need at least two years of accounts receivable experience or four years of payment-posting experience, a high school diploma or equivalent, knowledge of medical coding and billing terminology, and strong organizational, investigative, and teamwork skills.
